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If the pH is higher than 8, L-Carnitine will deteriorate (optimal pH 3.5-8)

Heterogeneity and publication bias Heterogeneity of included studies was evaluated using Cochrane's Q test and I-square test

If clinical signs like increased IOP have already developed, but there are still no noticeable symptoms, it is even more important to act quickly to prevent disease progression

[4] Ringseis et al. Low availability of carnitine precursors as a possible reason for the diminished plasma carnitine concentrations in pregnant women. BMC Pregnancy Childbirth. 2010 Apr 25;10:17. doi: 10.1186/1471-2393-10-17

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