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On the commercial side, employers and insurers facing higher drug spending tend to pass it through in the form of higher premiums, higher deductibles or tighter rules, said study senior author Xiaoning Huang, assistant professor of medicine in the division of cardiology at Northwestern University Feinberg School of Medicine

L-carnitine therapy could also be valuable in those patients who develop VPA-induced hepatotoxicity or VPA-induced hyperammonaemic encephalopathy [133]