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Chunk #25 — 3. Experimental Section

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Adding Sarcosine to Antipsychotic Treatment in Patients with Stable Schizophrenia Changes the Concentrations of Neuronal and Glial Metabolites in the Left Dorsolateral Prefrontal Cortex.
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Fifty right-handed patients diagnosed with schizophrenia (according to Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision (DSM-IV-TR) criteria) with dominant negative symptoms, and who were in a stable clinical condition, were randomly assigned to a sarcosine or placebo group. 1H-NMR spectroscopy was performed according to the protocol described below at the beginning of the study and six months later. Sarcosine or placebo were added to the ongoing antipsychotic treatment in a double-blind manner. Patients in the study group were given plastic capsules containing 2 grams of the amino acid, while subjects in the placebo group (similar age, sex, clinical presentation, duration of schizophrenia and treatment, Table 3) received capsules with microcrystalline cellulose. Subjects in both groups were ordered to drink the dissolved contents of one capsule once a day in the morning. All patients were treated with stable doses of antipsychotic and other medication for a minimum of three months before the baseline visit. Doses of antipsychotic and antidepressive drugs were calculated for defined daily dose (DDD) developed by the World Health Organization. Antidepressants were used as