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doi: 10.1016/S0015-0282(16)48024-6
Jiaming Y, Rahimi MH

But consuming more than 4 g per day may cause nausea, vomiting, diarrhea, abdominal cramps, and a fishy body odor

A 2019 systematic review of five placebo-controlled trials conducted by one group of investigators examined the effect of acetyl-L-carnitine (ALCAR) in 398 participants with cirrhosis and portal hypertension (high blood pressure in the portal vein) and presenting with either subclinical or overt hepatic encephalopathy

Always follow the recommended dosage for the best results
