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Physicians in charge decided plasma sampling to measure plasma VPA concentrations, treatments and L-carnitine dose regimen, which included an intravenous 100 mg/kg loading dose followed by a maintenance dosing up to 3 g/day in 3 divided doses for 3 days (or until ICU discharge)

L-CN and GBB analyses were performed in MRM (Table 4), and each prepared sample was injected into ACQUITY HPLC BEH HILIC (1.7 um, 2.1 100 mm) column (Waters, 186003461, China) at a column temperature of 40 C for dissociation, and chromatography was performed using a gradient mobile phase consisting of water and 20 mM of ammonium formate (phase A) and acetonitrile (phase B) (Table 5)

Myalgic encephalomyelitis/chronic fatigue syndrome diagnosis and management in young people: A primer