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Description
In contract, overt hepatic encephalopathy can present with disorientation, obvious personality change, inappropriate behavior, somnolence, stupor, confusion, and coma (106)

(PubMed) Pesce V, Fracasso F, Cassano P, Lezza AM, Cantatore P, Gadaleta MN

La enzima carnitina palmitoiltransferasa une las molculas de L-carnitina a los cidos grasos

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A plasma test will be helpful, but it may not be enough to make a direct connection to an L-Carnitine deficiency
