Acetyl L carnitine improves cognitive functions in severe hepatic encephalopathy: a randomized and controlled clinical trial Metabolic Brain Disease Springer Nature Link Acetyl L Carnitine 500 mg l Ornithine l aspartate in the Management of Hepatic Encephalopathy Page 2 LIVESTRA Injection is a clinically proven hepatic support therapy designed for effective reduction of elevated blood ammonia levels and improved liver function. Formulated with L Ornithine L Aspartate 5 gm, it supports ammonia detoxification,