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The International Recommendations for the Management of Adults Treated With Ketogenic Diet Therapies noted that the majority of adult clinics check carnitine levels at baseline and at 1 year (21)

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To enhance interpretability despite this variability, we pooled outcomes within instruments (HDRS, BDI, MADRS), conducted prespecified subgroup analyses by comparator group and age, used random-effects models, performed leave-one-out sensitivity analyses and publication-bias diagnostics, and applied meta-regression to examine treatment duration and daily dose

Its primary function is to transport long-chain fatty acids into the mitochondriathe "power plants" of cells