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Inclusion criteria were as follows: (1) 20 age 79 years, (2) no administration of carnitine within the 2 preceding weeks, (3) serum ammonia level exceeding 60 g/dL, and (4) unsuccessful completion of the age-corrected number connection test B (NCT-B)

Review about each risk of bias item presented as percentages across all included studies

In the GST H-site, the amino acids that contribute to the binding of multiple substrates ultimately facilitate the tolerance that an organism exhibits in a specific stress environment