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Patients with a history of pancreatitis or medullary thyroid cancer, or with a personal or family history of multiple endocrine neoplasia 2 (MEN2), are advised not to take these drugs

in patients with cirrhosis and hepatic encephalopathy (ranging from mild hepatic encephalopathy to coma) confirmed that L-carnitine supplementation significantly improved hepatic encephalopathy parameters (107111)

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