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Case 2: A 44-Year-Old Woman A 44-year-old woman with CSU since March 2020 reported persistent daily wheals despite long-term H1AH, with fexofenadine 720 mg per day between March and June 2024 (UAS7 1618 at that time)
Mutat Res Genet Toxicol Environ Mutagen 586:97101
Lcarnitine supplementation resulted in a statistically significant reduction in ammonia after 24 h (47.9 6 mol/L) compared to standard treatment (61.9 11.39 mol/L)
Treatment often requires a multidisciplinary approach, including pharmacological interventions (e.g., anticonvulsants, muscle relaxants), non-pharmacological therapies (e.g., acupuncture, hypnosis), and, in severe cases, surgical interventions such as vagus nerve stimulation
Because laboratory precision matters, dependable peptide formulations remain highly valuable