Prevalence of vitamin A deficiency. Vitamin A deficiency (VAD) is a lack of vitamin A in humans. It is common in poorer countries but rarely seen in more developed countries. Nyctalopia (night blindness) is one of the first signs of VAD.revalence of vitamin A deficiency. Vitamin A deficiency (VAD) is a lack of vitamin A in humans. It is common in poorer countries but rarely seen in more developed countries. Nyctalopia (night blindness) is one of the first signs of VAD.
Both lithium and valproate have been reported to increase rat CSF GABA levels. Regarding valproate, animal studies reported that it enhances GABA levels, GABA synaptic release, GAD activity, neuronal GABA responsiveness, and inhibits GABA-T in several brain regions.
The valproate binding sites on plasma proteins are easily saturable, however, and at plasma valproate concentrations modestly greater than the therapeutic maximum, the fraction of total valproate bound to protein starts to decrease.