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Seeds and nuts provide concentrated calories and healthy fats in small portions, with one serving typically about a thumb-sized handful or a tablespoon, making them efficient when overall intake is reduced

For uninsured patients or those facing financial barriers, manufacturer patient assistance programs may provide options for obtaining replacement medication

In their study of patients who are not on the diet, carnitine deficiency was found in 32 out of their 84 (38%) patients taking valproic acid and 13 out of 54 (24%) taking carbamazepine, both as monotherapy and utilized in combination with other ASMs