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In addition, respondents may have varied in their interpretation of the response options meaning distinctions between first- and second-line, or refractory use only and rarely used, should not be over-emphasised

Methods Of 68 patients with hepatic encephalopathy treated with oral L-carnitine supplementation from April 2013 to March 2016, we enrolled 19 patients who had received full standard treatment

Breum L, Astrup A, Gram L, Andersen T, Stokholm KH, Chris-tensen NJ, Werdelin L, Madsen J: Metabolic changes during treatment with valproate in humans: implication for untoward weight gain

L-carnitine may also enhance energy production in cardiac cells to improve blood flow, reduce inflammation, and limit oxidative stress (an imbalance in free radicals and antioxidants that can lead to cell damage linked to aging and heart disease), she says