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Thus, it is widely accepted that sepsis is able to trigger HE in cirrhotic patients as a result of altered nitrogen metabolism and also by releasing pro-inflammatory mediators [53]

Moreover, it is not known if S-5-HT mediated the effects of L-carnitine on fatigue, as it is possible that L-carnitine could have effects unrelated to S-5-HT that could reduce fatigue and in parallel promote increased synthesis of peripheral 5-HT

According to Dr

Antibiotic residues in soil and water promote the selection of resistant bacteria and support the horizontal transfer of resistance genes between microbes

Its multifaceted nature and relatively low-risk profile make it a compelling candidate for therapeutic intervention across several medical contexts