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Second, a reduction in tubular reabsorption of both free carnitine and acylcarnitine has been reported during VPA treatment [45, 46], Third, VPA reduces endogenous synthesis of carnitine by blockade of the enzyme butyrobetaine hydroxylase

Blocking immune cell infiltration of the central nervous system to tame neuroinflammation in amyotrophic lateral sclerosis

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It is important to note that receptor desensitization, feedback suppression, and compensatory signaling are by no means unique to peptidesthese phenomena are well documented for small-molecule drugs, including beta-blockers, opioids, and statins