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8 Future perspectives The gut microbiota can influence drug bioavailability and efficacy through metabolism, while most psychotropic medications possess anti-inflammatory properties and may directly alter microbial composition
The EASL 2024 guidelines note that silymarin may improve liver enzymes but cite few small RCTs showing no histological benefits [28]
Dihexas specific HGF/c-Met mechanism drives synaptogenesis at a structural level potentially creating lasting new neural connections rather than transient neurochemical changes
Mean baseline serum B12 levels were reported in this study but it is not clear what proportion of patients had B12 deficiency
