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Location of itching also provides clues: localized itching at the injection site suggests a reaction to the injection itself, while generalized full-body itching is more likely tied to dehydration or skin changes from weight loss

carnitine physiology Metabolism of valproic acid via beta-oxidation in the mitochondria causes carnitine depletion (explored further above)

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The mental health claims are extrapolations from animal data and mechanistic speculation