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Accordingly, l-carnitine might improve hepatic encephalopathy by not only lowering ammonia concentration but also by directly affecting the brain

These symptom improvements were detected after the first 10 days of intramuscular treatment and persisted throughout the 4-month treatment period

Onofrj M, Fulgente T, Melchionda D, et al
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[DOI] [PMC free article] [PubMed] [Google Scholar] 213.Micheletto C., Izquierdo J.L., Avdeev S.N.R., Escobar R.A., Pacheco Gallego M.C

While L-carnitine supplementation normalized plasma carnitine concentration in vegetarians to that observed in omnivores, there was no effect on energy metabolism and physical performance compared to no supplementation and between vegetarians and omnivores (131)
