A causal link is not established, but it is a reason to keep a clinician involved rather than self-escalating
Sndrome de fatiga crnica
Siemes H, Nau H, Schultze K, Wittfoht W, Drews E, Penzien J, Seidel U: Valproate (VPA) metabolites in various clinical conditions of probable VPA-associated hepatotoxicity
Arteriosclerosis, thrombosis and vascular biology 32, 30583065 (2012)
Common ingredients in pre-workouts include: L-Citrulline Small studies using lower doses of L-citrulline malate have shown some improvements in cycling performance and muscle soreness, though some larger-scale meta-analyses of aerobic performance have revealed mixed results, even with higher doses.35 36 Other large reviews have been more positive, especially at 8g/day and above.45 The trend in the literature seems to indicate that higher doses would be more effective, though many pre-workout supplements offer 6g or less