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[Google Scholar] Hantson P, Grandin C, Duprez T, Nassogne MC, Gurit JM

A 2019 systematic review of five placebo-controlled trials conducted by one group of investigators examined the effect of acetyl-L-carnitine (ALCAR) in 398 participants with cirrhosis and portal hypertension (high blood pressure in the portal vein) and presenting with either subclinical or overt hepatic encephalopathy

Some studies find that carnitine supplements may benefit the cardiovascular system

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Pathway and enzyme redundancy in putrescine catabolism in Escherichia coli
