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In their study of patients who are not on the diet, carnitine deficiency was found in 32 out of their 84 (38%) patients taking valproic acid and 13 out of 54 (24%) taking carbamazepine, both as monotherapy and utilized in combination with other ASMs

That's why research in Advances in Nutrition suggests eating meat and cheese raises GLP-1 by 300% in just 90 minutes

Cleavage Products of GLP-1 Moellmann et al

Lancet Neurol 14(3):329340 Biessels GJ, Verhagen C, Janssen J et al (2019) Effect of linagliptin on cognitive performance in patients with type 2 diabetes and cardiorenal comorbidities: the CARMELINA randomized trial