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In ICSD-3, narcolepsy type 1 is defined as excessive daytime sleepiness lasting longer than three months, accompanied by either cataplexy (a mean sleep latency of eight minutes or less on the multiple sleep latency test.) or a highly specific biological measure called hypocretin-1, with a level in the CSF of 110 pg/mL or less (Dauvilliers & Barateau, 2017)

"ALCAR and depressive symptoms: systematic review and meta-analysis." Psychosom Med 2018;80:154-9