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We are trained to rule out malignancy first

Human cystathionine beta-synthase is a target for sumoylation

In a randomized controlled trial involving patients with cirrhosis and CHE, dietary intervention with protein intake of 1.01.5 g/kg/day led to significant improvement in CHE and was associated with more favorable clinical outcomes compared with a standard diet [118]

Some transition off medication successfully, while others continue at maintenance doses