Nefs G, Pouwer F, Denollet J, Kramer H, Wijnands - van Gent CJM, Pop VJM
Given the pivotal role of L-carnitine in enabling ketogenesis and the heightened reliance of the preterm brain on ketone bodies, strategic L-carnitine supplementation represents a potential therapeutic approach
Gane S, Georganakis D, Maniati K, Vamvakias M, Ragoussis N, Skoulakis EM, Turin L (2013)
Key adjustments at this phase: Reduce portion sizes by 20% to 30% across all meals Add a sixth small meal if you cannot finish larger ones Move heavy carbohydrates to earlier in the day when digestion is strongest Switch to softer, easier-to-digest proteins (fish, eggs, Greek yogurt) on dose increase days Keep hydration consistent at 8 to 10 glasses per day, sipped throughout rather than gulped at meals Phase 3: therapeutic doses (10mg, 12.5mg, 15mg, weeks 13+) At higher doses, some people find eating enough to be the challenge, not eating too little