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Another 2012 study involved 15 men and 15 women who received 500 grams of beetroot and apple juice or a placebo juice

doi: 10.1016/j.micres.2024.127966 55 HeasleyCKStefanovaVFunkCFreitasACLiGPellLGet al

Further analyses have revealed pronounced gut microbial dysbiosis in cirrhotic patients with hepatic encephalopathy (HE), marked by increased abundances of bacterial families such as Alcaligenaceae, Porphyromonadaceae, and Veillonellaceae, as well as genera including Enterococcus , Megasphaera , and Burkholderia (498)

Oral viability

In practice, this gray area changes nothing for patients: A licensed clinician still cannot prescribe these through a legitimate compounding pharmacy