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Because each patient's biochemistry and symptom profile are unique, a personalized approach is essential

[19] Fragile X syndrome: A 2015 Cochrane review of ALCAR in fragile X syndrome found only two placebo-controlled trials, each of low quality, and concluded that ALCAR is unlikely to improve intellectual functioning or hyperactive behavior in children with this condition

What comes first, though, is context

High-riding patella or palpable tendon gap may also be evident

It is worth noting that head-to-head clinical trials comparing the two medications directly are ongoing, and the science continues to evolve

How the medication or program will help treat that condition