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Competing interests MAN has been member on advisory boards or has consulted with Boehringer Ingelheim, Eli Lilly & Co., Menarini/Berlin Chemie, Merck, Sharp & Dohme, NovoNordisk, Regor, and ShouTi Inc./Gasherbrum

Patients should not adjust doses of either medication independently

From this figure, we can visualize that for timepoints 1 and 2, normal free carnitine patients experience greater % change in seizure reduction on MAD compared to low free carnitine patients

And usually when it's there, the pattern of allergic findings food intolerances, eczema, chronic coughs, chronic congestion, adenoids, ear infections shows up, whether it's in the child that is of concern, or sometimes it's not the child but their sibling