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Malaguarnera M, Vacante M, Pennisi G (2011) Acetyl-L-carnitine improves cognitive functions in severe hepatic encephalopathy: a randomized and controlled clinical trial
Brain Behav Immun (2011) 25(5):87282
Generally, it entails months of medical and behavioral preparation, including a mental health assessment, explains Evan Nadler, MD, an adjunct associate professor at the George Washington University School of Medicine and Health Sciences in Washington, D.C., who has performed hundreds of pediatric bariatric surgeries
A gradual dose increase often helps ease these effects
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