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doi: 10.1177/8755122514539462

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Fourth, following the improved results of PHES in both groups without significant change in serum ammonia levels, we could not exclude the possibility of learning effects that patients could have achieved during the repeated examinations throughout the study period.In conclusion, 24 weeks of L-carnitine supplementation was safe but was not effective in improving the quality of life among patients with covert HE

Patients using oral contraceptives should use an additional non-hormonal method of contraception for 4 weeks after initiating tirzepatide or increasing the dose