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**Hepsure** is an oral, sugar-free branched-chain amino acid nutritional formulation marketed by Waterley Pharmaceuticals for nutritional support in liver disease, including hepatic encephalopathy. It contains the essential branched-chain amino acids **L-leucine, L-isoleucine, and L-valine**. BCAA supplementation may support skeletal-muscle ammonia detoxification through glutamine formation and help address protein-energy malnutrition and altered nitrogen metabolism associated with cirrhosis and hepatic encephalopathy.
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