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Lancet (London) 360:219223 Burlina AP, Sershen H, Debler EA, Lajtha A (1989) Uptake of acetyl-l-carnitine in the brain

[DOI] [PMC free article] [PubMed] [Google Scholar] Biasi F, Mascia C, Poli G

Studies have shown that this condition may be reversed with L-carnitine supplementation, which increases available levels of osteocalcin.Other issues that L-carnitine therapy may address include enhanced glucose utilization in diabetics, reduced symptoms associated with chronic fatigue syndrome, and improved thyroid regulation in people with hyperthyroidism

Oct 2015;29(10):1106-11

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Behavioral therapies advocate for a consistent sleepwake schedule, morning exposure to bright light, and cognitive behavioral therapy for insomnia, albeit the latter which is seldom available for cirrhosis patients