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[Crossref] Quero JC, Hartmann IJ, Schalm SW (1996) The diagnosis of subclinical hepatic encephalopathy in patients with cirrhosis using neuropsychological tests and automated electroencephalogram analysis

Definitely works along with good diet and exercise

Xi L, Brown K, Woodworth J, Shim K, Johnson B, Odle J

This can start early, even in childhood

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Hepatic encephalopathy: historical remarks