Abstract Purpose of Review To review carnitines role in migraine and headache, present a case of a patient with intractable chronic migraine refractory to medications but exquisitely responsive to mitochondrial cofactors with a particularly prompt response to L-carnitine supplementation with dose response, and suggest scenarios where L-carnitine could be considered for prophylactic treatment in migraine and intractable headache with migraine features
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preclinical safety evaluation found no genotoxicity, mutagenicity, or organ toxicity at tested doses
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