Acetyl L carnitine improves cognitive functions in severe hepatic encephalopathy: a randomized and controlled clinical trial Metabolic Brain Disease Springer Nature Link LIVESTRA Injection is a clinically proven hepatic support therapy designed for effective reduction of elevated blood ammonia levels and improved liver function. Formulated with L Ornithine L Aspartate 5 gm, it supports ammonia detoxification, Covert Hepatic Encephalopathy: Not as Minimal as You Might Think Clinical Gastroenterology and Hepatology Acetyl L Carnitine Integrative Therapeutics