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Although there was a decrease in the median (IQR) of GI symptoms score in the patients on KD with L-carnitine supplementation in comparison to KD only group indicating clinical improvement in GI symptoms, and an increase in the median (IQR) of the Bristol stool scale indicating that the stool was softer, these results didnt reach statistical significance

Positive interventional effect of engineered butyrate-producing bacteria on metabolic disorders and intestinal flora disruption in obese mice

Hydroxocobalamin is the form of Vitamin B12 found naturally in food and produced by gut bacteria

Oxidative stress, which results from the imbalance between the production and neutralization of ROS, is also reported to be involved in a large number of pathological states, such as Alzheimers disease [30], Parkinsons disease [31], atherosclerosis [32], heart failure [33], myocardial infarction [34], and hepatic encephalopathy [35]