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The culture medium was replaced with various concentrations of G extract, D-CuP solution, G/D-CuP extract and blank medium (blank control group, BC) (100 L) (n = 4)

Abbreviations AASLD: American Association for the Study of Liver Diseases CGA-HE: Clinical Global Assessment of Hepatic Encephalopathy CI: confidence interval EASL: European Association for the Study of the Liver FMT: fecal microbiota transplantation GABA: gamma aminobutyric acid GPB: glycerol phenylbutyrate HAS: hepatic encephalopathy scoring algorithm HE: hepatic encephalopathy HR: hazard ratio LOLA: L-ornithine L-aspartate NAD: non-absorbable disaccharides NNT: number needed to treat OR: odds ratio PAA: phenylacetic acid PBA: phenylbutyric acid PEG: polyethylene glycol PHES: Psychometric HE-score RBANS: Repeatable Battery for the Assessment of Neuropsychological Status RCT: randomized clinical trial RR: relative risk SCFA: short-chain fatty acid SOC: standard of care TIPS: transjugular intrahepatic portosystemic shunt WHS: West Haven scale Declarations Acknowledgement This work was made possible by the Herman Lopata Chair in Hepatitis Research

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Noto JM, Peek RM Jr

Vitamin B12 is also beneficial in increasing your core strength by moving your blood and ensuring that every organ receives the nutrients it requires to thrive