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Answer: Patients typically begin a supervised course alongside lifestyle and nutritional support, with digestive symptoms often the first to shift and systemic changes, such as energy or skin, sometimes following as inflammation settles

Escalation Therapy Higher-intensity interventions reserved for refractory or severe flares

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203 In contrast, paediatric patients ( n = 56) with episodic migraine treated with L-carnitine (50 mg per kg per day) experienced a reduction in migraine frequency, severity and duration that was comparable to the study arm receiving propranolol

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