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Abbreviations CI Confidence interval CNS Central nervous system CPT Current Procedural Terminology GI Gastrointestinal GLP-1RA Glucagon-like peptide-1 receptor agonist HCO Healthcare organization HIPAA Health Insurance Portability and Accountability Act HR Hazard ratio ICD-10-CM International Classification of Diseases, Tenth Revision, Clinical Modification LOINC Logical Observation Identifiers Names and Codes REM Rapid eye movement RLS Restless legs syndrome RR Risk ratio STROBE Strengthening the Reporting of Observational Studies in Epidemiology T2DM Type 2 diabetes mellitus TNX TriNetX curated code Author contributions CRediT: Louie Kamel-Abusalha: Conceptualization, Data curation, Formal Analysis, Investigation, Methodology, Project administration, Writing original draft, Writing review & editing

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This protective effect of L-carnitine is of utmost importance since increase in total cholesterol and triglyceride concentrations upon KD therapy has been previously reported in children 21