acetyl-l-carnitine hepatic encephalopathy randomized trial doi L-carnitine reduces hospital admissions in... : European Journal of Gastroenterology & Hepatology Hepatic Encephalopathy: Current and Emerging

[340] There is limited evidence to suggest that multivitamin use has a cancer-preventive effect, except for colon cancer, in both men and women participating in the NIH-AARP Diet and Health Study

Not all compounding pharmacies offer the levocarnitine combination

Nutrition Facts * Daily Value not established Ingredients: Prolyl endopeptidase, Gamma Oryzanol, Abelmoschus esculentus, Pisum Sativum Organic Vegetable Culture, Cellulose (E460), Althaea officinalis, Modified Cellulose Gum (E466), Hydroxypropyl Cellulose (E463), Magnesium Stearate (E470b), Silica (E551)

Communication could have been better but, the product works