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This effect tends to be temporary and usually decreases after the first few days or weeks of treatment

2009 Jun 17;2:105-10

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Within each block of six consecutively-enrolled subjects, two subjects received placebo, two subjects received L-Carnitine, and two subjects received L-Carnitine-combination in a randomly-permuted order generated using www.randomization.com

A total of 1015% of ALS can be attributed to a single gene mutation, known as genetic or familial ALS, while the remainder of cases are termed nongenetic or sporadic although heritability has been measured in up to 37% in this population