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It would be noteworthy for future studies to track carnitine levels of all patients who are taking valproic acid or carbamazepine over the course of the ketogenic diet and observe whether hypocarnitinemia is more prevalently developed in these subsets of patients over the course of the diet

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This was associated with microglial MHC-II upregulation and increased brain CCR2 expression, promoting recruitment of monocytes and CD8+ T cells from the peripheral blood into the CNS compartment (Gaviglio et al., 2022)

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