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Complete blood count (CBC): Establishes red and white cell indices and platelet counts

Conclusion: Oral carnitine is an effective treatment for hepatic encephalopathy accompanying hyperammonemia in patients with cirrhosis

Mechanisms underlying neuroprotection include enhanced cerebral angiogenesis supporting tissue oxygenation, anti-inflammatory effects reducing secondary injury, antioxidant activity limiting free radical damage, and modulation of neurotransmitter systems including the dopamine/glutamate/NO system

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