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Presently, the precise pathogenesis of hepatic encephalopathy remains incompletely elucidated, with theories encompassing ammonia toxicity, neurotransmitter imbalances, and amino acid perturbations, among which ammonia toxicity serves as a focal point

Regular medical check-ups are advisable, especially for individuals with chronic liver diseases, family history, or other risk factors, as early detection and treatment are crucial in combating end-stage liver disease (Yang et al., 2019)

4.3.3 Cellular lipotoxicity and fatty acids One of the main initiators of macrophage foam cell development and atherosclerosis is the disturbance of regular lipid metabolism in macrophages

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