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Notably, citric acid, 2-oxoisocaproic acid, acetylcarnitine, 3-hydroxybutyric acid, and glycerol were reduced in EP, while glutamic acid, proline, 3-methyl-2-oxovaleric acid, glucose, 2-hydroxybutyric acid, tyrosine, mannose, pyroglutamic acid, and carnitine were elevated
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It often supplements (rather than replaces) other therapies
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