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The pathophysiology of hepatic encephalopathy is not completely understood but includes an increased sensitivity to dietary proteins

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It is particularly common in individuals with certain risk factors, including those who have undergone gastric or small intestine resections, have inflammatory bowel disease, use metformin or proton pump inhibitors, follow a vegan diet, or are older than 75 years

Due to its natural dual-layer formula (oil + jelly), slight variations in the layers may occur during shipping or storage