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showed that Lcarnitine can also be used to accelerate the normalization of enzyme levels and prevent the postponement of subsequent cycles of chemotherapy ( In addition, in a study conducted on pediatric ALL patients, the significant effect of using Lcarnitine on the reduction of liver enzyme levels in weeks 10 and 12 after the intervention was shown ( Several herbal medicines, including Silybum marianum and Glycyrrhiza glabra, exert hepatoprotective effects through immunomodulatory and antioxidant activity ( The beneficial effects of Lcarnitine supplementation on oxidative stress have been previously reported