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The patient has a history of congenital adrenal hyperplasia, for which she takes prednisolone 8 mg daily, and of anxiety, depression and migraines

Furthermore, a study shows that resveratrol, a phytoalexin, can decrease plasma TMAO and subsequent atherosclerosis in ApoE / mice via gut microbiota remodeling, characterized by increased levels of the genera Lactobacillus and Bifidobacterium with increased bile salt hydrolase activity to increase bile acid neosynthesis, suggesting the potential of resveratrol as prebiotics (Chen et al., 2016)

L-Carnitine targets physical fatigue and muscle function by helping transport fatty acids into mitochondria

Currently, the treatment options for L2HGA include a protein-restricted diet, application of antiepileptic therapeutic drugs for symptomatic treatment, and supplementation of riboflavin and carnitine (such as L-carnitine)