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Nevertheless, the pooled analysis of 16 trials suggested improvements in the summary measure of patients' global functioning (assessed with the Clinical Global Impressions [CGI-I] scale) after 12 and 24 weeks of (but not after 52 weeks) of ALCAR treatment (1-3 g/day) and in cognitive performance (assessed with the Mini-Mental State Examination [MMSE] scale) after 24 weeks (but not at 12 or 52 weeks) (104)

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FIGURE 1 Exclusion criteria were: allergy or intolerance to standardized meal ingredients

Dosage should start at 50 mg/kg/day, and be increased slowly to a maximum of 3 g/day (30mL/day) while assessing tolerance and therapeutic response

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