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Stress, not moving much, or health problems like Irritable Bowel Syndrome (IBS) could be behind the symptoms

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Test the blood levels of cobalamin: Blood Levels Of Cobalamin-Picture Courtesy: Dr

However, data are lacking to back up their theory [48]

In these patients, it is essential to identify reversible causes of hepatic encephalopathy such as increased ammonia production and/or decreased clearance (eg, infection, GI bleed, constipation, hypokalemia, dehydration)