Just an aside about odours, Keto, and Carnitine.
http://www.mynchen.demon.co.uk/Ketog.../Carnitine.htm
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Dosage with carnitine may also cause a fishy breath odour. This is caused by excess growth of intestinal flora promoted by carnitine in the gut. The odour may be reduced by increasing the bedtime dose and by spreading the other carnitine doses more regularly through the day.
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http://epilepsyontario.org/client/EO.../web/Carnitine
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Plasma carnitine levels are decreased in many people with epilepsy. This carnitine deficiency may result from nutritional factors, underlying metabolic disorders, or the effects of drugs and diseases, alone or in combination. Plasma levels are usually lowest in people taking a combination of valproate with other anti-epileptic drugs (AEDs) such as phenobarbital, phenytoin or carbamazepine (valproate polypharmacy), though taking valproate alone or other AEDs alone may sometimes cause a deficiency. Studies suggest that a young age and multiple disabilities may be risk factors for carnitine deficiency as well.
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