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In conclusion, non-pharmacological therapies that focus on controlling the etiology of liver disease, improving nutrition, increasing muscle mass, mitigating triggers and risk factors, and enhancing coping mechanisms are significantly more effective in combating fatigue in cirrhosis compared to pharmacological treatments (Figure 2) (4, 9)

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The Human Evidence Problem Here's the honest gap: there are essentially no completed, published, peer-reviewed randomized controlled trials of BPC-157 in humans for any indication