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The following non-pharmacologic interventions may be used in conjunction with other therapies to optimize treatment plan

Slowly inject the vitamin B12 injection im dose

Recently, autoantibodies against the amino (NH 2 )-terminal of -enolase (referred to as NAE) were reported to be highly specific in sera from a limited number of HE patients (68-83% with HE

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especially with the way our food is made and processed these days

In patients with cirrhosis, serum inflammatory cytokines, including interleukin IL-6 and IL-18, are significantly elevated in those with CHE [56]