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Non-Achievement of Alanine Aminotransferase Normalization Associated with the Risk of Hepatocellular Carcinoma during Nucleos(t)ide Analogue Therapies: A Multicenter Retrospective Study

In the setting of increased short chain acetyl-CoAs, carnitine is capable of accepting the acyl group in the development of acylcarnitine (generally acetylcarnitine) effectively reducing the level of acetyl-CoA and extending the ability to continue high intensity exercise

BMJ 366:l4898
