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A meta-analysis of 7 RCTs, including 660 patients with HE grade ranging from subclinical to grade 3, found l-Carnitine to reduce ammonia levels, with associated improvement in HE [98]

doi: 10.1016/j.aju.2017.11.013 153 AgarwalASharmaRRoychoudhurySDu PlessisSSabaneghE

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