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L-carnitine supplementation reduced the levels of ammonia in patients with cirrhosis with physiological blood carnitine levels (34), suggesting that increased quantities of carnitine is required for patients with cirrhosis compared with the healthy individuals, and that patients may have exhibited a relative carnitine deficiency

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And yes, it supports the use of fatty acids to be burned as energy.(7)

Serum HDL cholesterol levels significantly decreased ( p = 0.001), total cholesterol remained unchanged, and a notable rise in LDL cholesterol was observed ( p = 0.005) [56]