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ADHD is often characterized by severe symptoms during childhood that may persist and evolve with advancing age [1]

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All other authors did not declare a conflict of interest

[] Systematic reviews and meta-analyses have shown that cadmium exposure leads to ototoxic effects, disrupts intracellular calcium signaling, and is significantly linked to an increased risk of hearing loss, providing strong evidence of cadmium ototoxicity

L-Carnitine drives muscle performance and fat metabolism, whereas ALCAR energizes the brain and supports cognitive clarity

Qiao et al., 2001