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128-131 Antivirals have been theorized to be beneficial or evaluated in patients, with inconsistent results

The International Recommendations for the Management of Adults Treated With Ketogenic Diet Therapies noted that the majority of adult clinics check carnitine levels at baseline and at 1 year (21)

Reduction in pain was significant (VAS reduced by 2.7 vs

To enhance interpretability despite this variability, we pooled outcomes within instruments (HDRS, BDI, MADRS), conducted prespecified subgroup analyses by comparator group and age, used random-effects models, performed leave-one-out sensitivity analyses and publication-bias diagnostics, and applied meta-regression to examine treatment duration and daily dose