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Interestingly, a pathogenic gut microbiota has been found more frequently in patients with symptomatic atherosclerosis compared to asymptomatics [62]

If HE develops as a consequence of HL, neurologic abnormalities such as ptyalism, stupor, coma, ataxia, and seizures may be observed.1, 2, 3 A minimum database, including complete blood cell count, serum chemistry, and urinalysis, almost always reveals severe liver enzyme elevation and other abnormalities such as nonregenerative anemia, stress leukogram, poikilocytosis, and bilirubin crystalluria

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