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Impairment of short-chain fatty acid (SCFA) and l-isoleucine biosynthesis in gut microbiome persists beyond 30 days after recovery from COVID-19, which could contribute to persistent leaky gut and dysbiosis in PASC patients 237,238

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The following adverse reactions have been reported: Neurologic Reactions: Seizures have been reported to occur in patients, with or without pre- existing seizure activity, receiving either oral or intravenous levocarnitine

Therefore, it seems likely that the previously reported effects may have resulted from additional components in the supplementation procedure []