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For children on valproate for epilepsy, which can lead to a deficiency of carnitine (see Interactions section), the doctor will likely prescribe a dose of 100 mg/kg of body weight per day, not to exceed 2,000 mg per day

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It usually resolves within the first week after a dose increase

Freeman, K

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These GI side effects typically peak during the first 4-8 weeks and improve as your body adjusts to the medication