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2 were cohort studies, and 4 were case series studies

Pharmacol Rev 63(1):134

Finally, the acyl-CoA and AMP are released, and the enzyme reverts to its original form [50]
Overall, clinical evidence in PC suggests that KD is safe, metabolically beneficial, and may synergize with chemotherapy, although patient adherence and protocol design remain critical determinants of feasibility

Carnitine: function, metabolism and value in hepatic failure during chronic alcohol intoxication
