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Preliminary evaluation does not suggest a causal link
Feedback Inhibition : High levels of L-carnitine can inhibit the activity of BBOX, preventing excessive accumulation and ensuring balanced carnitine production
Some participants experienced continued progress, while others required additional time as treatment continued
Often, patients with thiamine deficiency have concomitant nutritional deficiencies (such as B12 in this case), which can contribute to additional neurological symptoms and signs, such as optic atrophy in this case [1]
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