can l-carnitine remove ammonia Hepatic Encephalopathy: Current and Emerging Treatment Modalities Mitochondrial targets in hyperammonemia: Addressing
Description
Changes in the blood concentrations of specific acylcarnitines in subjects with either subjective memory complaints, mild cognitive impairment, or Alzheimer's disease, compared to cognitively healthy peers may reflect changes in the transport of fatty acids into the mitochondria and/or impairments in energy production

This indicates that the ability of MCFAs to be oxidized independently of carnitine is tissue-specific

doi: 10.1152/jappl.1999.87.5.1741

Its working for me
The half-somersault maneuver is a technique developed for at-home use without assistance
