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Inclusion criteria were as follows: (1) 20 age 79 years, (2) no administration of carnitine within the 2 preceding weeks, (3) serum ammonia level exceeding 60 g/dL, and (4) unsuccessful completion of the age-corrected number connection test B (NCT-B)

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Unlike traditional nootropics that primarily enhance neurotransmitter function, Dihexa works by fundamentally increasing the brains capacity to form new neural connectionsa process known as synaptogenesis

Weight gain: thiazolidinedione and sulfonylurea can induce weight gain but DPP4 inhibitors provide weight neutral