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5 The shunting of blood around the liver is the cause of hepatic atrophy and reduced hepatic function that results in an accumulation of toxins, particularly ammonia that leads to the development of hepatoencephalopathy

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Patients with significant pre-existing gastrointestinal conditions should be carefully evaluated by their provider before initiating therapy

In traditional therapies, the body may shift into an "efficiency mode" where responsiveness levels off

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