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Teixidor-Deulofeu J et al
Malaguarnera and colleagues treating MHE patients with acetyl-L-carnitine (ALC) exhibited recovery of neuropsychological activities related to attention/concentration, visual scanning and tracking, psychomotor speed and mental flexibility, short-term memory, attention and computing ability, language, orientation ability and cognitive activities [59]
So the thinking is that it may involve impulse control and motivation. Because of differences in dopamine pathways, motivation for the ADHD brain is often driven more by what feels stimulating or rewarding than by what simply needs to get done
