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Drugs with dopaminergic effect, such as bromocriptine, may improve signs of HE.35, 36, 37 Intestinal toxins such as ammonia and bacteria are normally inactivated by hepatocytes and hepatic macrophages (Kupffer cells), respectively, so that toxin- and bacterium-free blood can enter the systemic circulation

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In todays sanitized, modern world, the water supply is commonly chlorinated to kill off any bacteria