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Silymarin has been the subject of numerous clinical trials involving individuals with liver cirrhosis and/or liver disease brought on by alcohol (Table 1) (Amini et al., 2023

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therefore, its clinical use is limited

However, besides ammonia, which is a known cause for foul-smelling urine 6,7 , other sources of malodour during infection and the source of their production require further characterization

Louis Childrens Hospital was seen in March, just as doctors around the world were beginning to recognize the disease, explains Alexis Elward, MD, MPH, chief medical officer and a Washington University pediatric infectious disease specialist at St