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The four-week ladder is not bureaucratic caution it is the single most effective tolerability tool in the protocol
Although there was a decrease in the median (IQR) of GI symptoms score in the patients on KD with L-carnitine supplementation in comparison to KD only group indicating clinical improvement in GI symptoms, and an increase in the median (IQR) of the Bristol stool scale indicating that the stool was softer, these results didnt reach statistical significance
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