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Ethics statement Ethical approval was not required for this single case report in accordance with local institutional guidelines

(34697528, 35521821) Various options to avoid this issue: Intravenous fosphenytoin avoids the issue entirely

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The dose has to be decided by the doctor based on the condition and Carnitine levels and any self-adjustment of dosage is not recommendedFishy smell of urine, breath and sweat may indicate the dose is higher

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These findings have positioned FOXO4-DRI as one of the most mechanistically specific senolytic peptides currently available for research purposes, distinguishing it from small-molecule senolytics that operate through broader cellular pathways