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Daneshvar Kakhaki R, Ostadmohammadi V, Kouchaki E, Aghadavod E, Bahmani F, Tamtaji OR et al (2020) Melatonin supplementation and the effects on clinical and metabolic status in Parkinsons disease: a randomized, double-blind, placebo-controlled trial

Acetyl L-carnitine, or ALCAR, is another form found in the central nervous system, contributing to energy production and acetylcholine synthesis

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HAGMA in our case does not generate an osmolal gap: the measured osmolality was only 10 mOsmol/Kg greater than his calculated osmolality (normal value 10) making the ingestion of alcohol or glycol unlikely