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Science 366 , 818822 (2019)

Long-term effects of L-carnitine on hyperammonemia and hepatic encephalopathy in patients with liver cirrhosis: a multicenter retrospective study Joji Tani a Akio Moriya b Tetsu Tomonari c Chikara Ogawa d Akemi Tsutsui e Asahiro Morishita a Teppei Sakamoto f Hiroki Tai a Rie Yano a Mai Nakahara a Kyoko Oura a Tomoko Tadokoro a Koji Fujita a Shima Mimura a Takashi Himoto g Hironori Tanaka c Ryosuke Imado d Takushi Manabe d Kei Takuma a Takuya Nagano e Koichi Takaguchi e Tetsuji Takayama c Hideki Kobara a Objective Long-term efficacy data for L-carnitine in managing blood ammonia concentration (BAC) and preventing hepatic encephalopathy recurrence remain limited

Refrain from lying flat or bending over for about four hours after your treatment, as this can affect how the product settles