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for example, the translocation of Stenotrophomonas pavanii and Methylobacterium extorquens into peripheral blood increases the risk for HE.17 Sarcopenia is an important complication in cirrhosis and develops in nearly 5070% of cirrhotics;19 it also increases the risk for HE in those patients.20 Dasarathy et al

From 1.5 g ALCAR twice daily (23 patients, plasma levels from 15 patients obtained), the treatment was changed to once daily doses of 1g (4 patients), 2g (7 patients), or 3g (12 patients), respectively

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Institutional review board approval was obtained (NRR25/096/5, approval No