Robuta

https://pubmed.ncbi.nlm.nih.gov/9049197/ Protective effect of L-carnitine in ammonia-precipitated encephalopathy in the portacaval shunted... L-carnitine administration prevents the neurological symptoms of acute ammonia toxicity. To further evaluate its efficacy in the prevention of hepatic... l carnitine https://www.ncbi.nlm.nih.gov/books/NBK563212/ Portacaval Shunt - StatPearls - NCBI Bookshelf Surgical shunts usage has become less common over the years as advancements in endoscopic therapy, TIPS (transjugular intrahepatic portosystemic shunt)... shuntncbibookshelf