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In patients with hepatic encephalopathy, the impaired reaction of cerebral oxyhemoglobin concentration might occur due to astrocyte swelling and dysfunction 42,43,44 because some reports showed that astrocyte controls the regional cerebral blood flow and provides energy sources such as ketone body and carnitine to the neuron 39,41

A Acetil L-carnitina e o cido Alfa Lipico trabalham em conjunto para manter os nveis de dopamina, que um neurotransmissor importante para o metabolismo energtico