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There is a strong correlation between hepatic encephalopathy and abnormal ammonia handling, and ALC has been shown to induce ureagenesis leading to decreased blood and brain ammonia levels [60]

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One example of an exclusively acquired carnitine deficiency involves chronic use of pivalate-conjugated antibiotics

Some of these diets are very narrow in scope, such as veterinary diets, while others provide a broader supportive function such as over-the-counter diets marketed for hip and joint or cognitive support
