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Borbath I, de Barsy T, Jeanjean A, Hantson P: Severe hyperammonemic encephalopathy shortly after valproic acid prescription and rapid awakening following levocarnitine

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Ishida & Saitoh 2020 confirm it selectively increases plasma GH without changing prolactin or cortisol, even at pharmacologically extreme doses

The effect is most clinically relevant when it produces symptoms such as nausea, vomiting, abdominal bloating, reflux, early satiety, or inability to tolerate oral intake