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Malaguarnera M, Pistone G, Elvira R, Leotta C, Scarpello L, Liborio R: Effects of L-carnitine in patients with hepatic encephalopathy

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Minor changes to your diet and staying hydrated can often ease the problem

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These proinflammatory cytokines recruit macrophages and neutrophils, intensifying inflammation and exacerbating liver injury, ultimately progressing to acute liver failure

If it stays tented instead of snapping back flat, you're dehydrated