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But while you are taking the medication, it is important to also learn the habits and tools that will help you long-term: meal planning protein-first eating handling social situations recognizing hunger and fullness building sustainable routines The medication can create an opportunity to learn and practice those skills while appetite is quieter

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67 The role of acetyl-L-carnitine in the treatment of HE is postulated to be related to reduction of serum ammonia by increasing ureagenesis 67 in addition to enhancing the production of acetylcholine in the brain (by facilitating the uptake of acetyl-coenzyme A) and stimulating protein and phospholipid synthesis, all of which increase cellular energy production and reduce neuronal toxicity in patients with HE