injectable l carnitine im or subq intramuscular subcutaneous l carnitine injection or Intramuscular vs. Subcutaneous Injections 6 Benefits of L-Carnitine Injections

Blood Adv 1:27762780

Irritability and Anxiety Poor sleep Gross motor problems or problems with coordination Tics Seizures (including absence seizures) If the child has untreated CFD, seizures may start at puberty Problems with vision Developmental delay and/or slowing of typical development Smaller head circumference (but certainly not always) Rett Syndrome maybe in indicator of CFD Depression *Not all these symptoms are seen in kids with CFD What Causes Cerebral Folate Deficiency

Both approaches work, and the most important factor is consistency rather than precise timing

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doi:10.1042/bj2860383

Folia Microbiologica 59, 181196