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This is supported by other studies that showed a protective effect of L-carnitine against ammonia-evoked encephalopathy in cirrhotic patients, with ALC administration improving neurological symptoms and plasmatic parameters in cirrhotic patients with hepatic coma [60-67]

Internationally, there are differences in the availability of medications as well as guidelines for treatment

Images were taken with an inverted light microscope at the Institute of Nanoscience and Nanotechnology, Kafrelsheikh University, Egypt (Leica Microsystems-Fluorescence Model, DMi8 manual, Germany)

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