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It detaches the L-carnitine and releases the long-chain fatty acid back to a mitochondrial Coenzyme A

therefore, an increase in the level of this metabolite in the blood and in the central nervous system can lead to VPA-induced neurological ADRs (diplopia, ataxia, seizures) and mental ADRs (cognitive disorders, behavioral disorders)

However, many studies and meta-analyses suggested that individuals with NAFLD experienced significant risks for subclinical and clinical cardiovascular events, even after adjustment for atherosclerotic cardiovascular disease (ASCVD) risk factor covariates, establishing ASCVD together with extrahepatic malignancies (mostly gastrointestinal and thyroid) as the leading causes of morbidity and mortality in individuals with less advanced disease [1315]

The solution is to ask your provider for the generic name and the actual dose in milligrams, which allows direct comparison