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Furthermore, L-carnitine is effective for chest pain, heart failure, kidney failure, hyperlipidemia (having high levels of cholesterol or lipids in the blood), male infertility, swelling of the heart, toxic side effects caused by valproic acid, and polycystic ovary syndrome

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However, a recent randomized clinical trial in 38 consecutive cirrhotic patients, enrolled within 24 h of an upper gastrointestinal bleed, indicated that OP appeared well tolerated although failed to significantly decrease plasma ammonia at the given doses (10 g/day) [76]

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