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These findings suggest that the favorable effects of L-carnitine on chronic fatigue in patients with cirrhosis cannot be attributed to improvements in serum ammonia levels

doi: 10.1097/IN9.0000000000000020 129 AssmannNO'BrienKLDonnellyRPDyckLZaiatz-BittencourtVLoftusRMet al

Neuroophthalmology 25, 199207

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The impact of this cellular energy crisis extends far beyond skeletal muscle fatigue
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