Full article: Acetyl l carnitine reduces depression and improves quality of life in patients with minimal hepatic encephalopathy Effect of Lcarnitine on liver enzymes and biochemical factors in hepatic encephalopathy: A systematic review and metaanalysis Abbasnezhad 2019 Journal of Gastroenterology and Hepatology Wiley Online Library Additional L carnitine Reduced the Risk of Hospitalization in Patients with Overt Hepatic Encephalopathy on Rifaximin. Current advances in the management of hepatic encephalopathy: an updated and critical review Pharmacological Reports Springer Nature Link Hepatic encephalopathy survival and readmission rates on lactulose, rifaximin, zinc and l carnitine quad therapy Novel Drugs for the Management of Hepatic Encephalopathy: Still a Long Journey to Travel Journal of Clinical and Experimental Hepatology