Hepatic Encephalopathy: A Review European Medical Journal Oral Acetyl L Carnitine treatment in hepatic encephalopathy: view of evidence based medicine Annals of Hepatology Hepatic encephalopathy survival and readmission rates on lactulose, rifaximin, zinc and l carnitine quad therapy 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,