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Conclusion The present study indicated that dietary L-carnitine supplementation could increase the concentrations of carnitine in the liver and muscle, and decrease the lipid content in both tissues, possibly through enhanced mitochondrial -oxidation and reduced adipogenesis

In one large, prospective, observational cohort study (the Neurodevelopmental Effects of Antiepileptic Drugs (NEAD) study), children who had been exposed to valproic acid in utero had significantly lower IQ scores at 6 years of age than those exposed in utero to lamotrigine, phenytoin, or carbamazepine monotherapy

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prophylaxis for migraine headaches (not effective for acute therapy) Contraindications: hepatic disease or significant dysfunction pregnancy (valproate was upgraded from Category D to Category X in 2013)(FDA Drug Safefy & Availability) Side Effects: Several epidemiologic studies have indicated a higher incidence of & an increased incidence of cardiovascular, orofacial & digital abnormalities in the offspring of mothers who took valproate during pregnancy