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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
Reference [1] Su Z, Xiao D, Xie F, et al
The vitamin is gradually released into your bloodstream over several days, providing a sustained yet moderate increase in B12 levels
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doi: 10.3109/03602532.2016.1157600 153 WeiskirchenRTackeF
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