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A modified Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) diagram depicting all searched, screened, and included items is shown in Fig

Marcovina et al., 2013

Additives and Chemical Preservatives: ADHD is commonly seen as associated with an inflammatory based diet and toxic food additives, dyes, and preservatives

Over-the-Counter Products Taken as Supplements Certain OTC products taken regularly such as cold remedies or sleep aids may also interfere with initial screens, particularly when combined with supplements

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Foods that contain L-carnitine include red meat, dairy products and fish