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A Ketogenic Diet and the Treatment of Autism Spectrum Disorder
While these studies did not generally report significant side effects, contradictory findings on muscle strength, motor function, and survival emphasize the need for further research on the long-term use of these drugs in SMA patients [20, 23,24,25,26,27, 29]

Adverse cardiac changes in horses: In equine studies, long-term clenbuterol administration increased the heart rate (HR), right ventricular pressure (RVP), and aortic root diameter after maximal exercise, raising the risk of aortic root rupture

Four patients changed in the opposite direction

Tanaka K, Yokota I, Coates PM, et al
