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They measured serum free carnitine and acylcarnitine levels, VPA concentrations, liver function tests, serum amylase levels and serum ammonia levels

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Am J Perinatol 36(10):1045-53 2019 PMC6612540 Wartko PD, Weiss NS, Enquobahrie DA, Chan KCG, Stephenson-Famy A, Mueller BA, Dublin S

This can be seen with citrulline, arginine or pre-workout boosters, for example