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Costa and Stevenson (1984) with the administration of equine chorionic gonadotropin (eCG) and pregnant mares serum gonadotropin (PMSG) showed that these components increases ovarian concentration of free LC and ALC, which shows the interaction between the direct and indirect mechanisms through cellular and hormonal regulations [82]

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Deng, Kunhong

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 [6067]

The interconnected nature of these symptoms often requires a multi-faceted approach