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I think looking at the actual data from the one clinical study, there wasn't statistical significance until all three of the pieces of data were pulled together

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Removal of the top 7 or top 14 high-abundance proteins has been shown to result in a 25% increase in identified proteins

Raskind et al[18] extensively reviewed the pathophysiology and significance of VPA-induced carnitine deficiency and evaluated the literature pertaining to carnitine supplementation during VPA therapy in children, and concluded that despite the lack of prospective, randomized clinical trials, a few studies have shown carnitine supplementation in patients receiving VPA result in subjective and objective improvements along with increases in carnitine serum levels