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The main pathophysiological mechanism behind liver injury and subsequent organ dysfunction in ALF is represented by a severe systemic inflammatory response [14]

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Research surrounding this acetylated derivative of L-carnitine has demonstrated that the acetyl group can serve as a metabolic building block for acetylcholine, a brain neurotransmitter, while the L-carnitine component carries fatty acids into mitochondria of nerve, heart, and muscle cells for use in energy production.† In addition, it may benefit membrane stability, production of nerve growth factor, and cerebral blood flow.†