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urease-producing bacteria in the gut increase ammonia production, which contributes to hepatic encephalopathy, and migration of bacteria across the intestinal wall has been implicated in both spontaneous bacterial peritonitis and bleeding due to esophageal varices (Pereg 2011)

For some patients, the next step may be another medication, a structured medical weight-loss plan, or a non-surgical option such as the Allurion Smart Capsule, also known as the swallowable gastric balloon

Lifestyle and Oxidative Stress Glutathione is the body's primary antioxidant

Testing and clinical assessment should guide decisions

Gutierrez-Aguilar R, Woods SC