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A randomized crossover trial in patients with cirrhosis and chronic encephalopathy further demonstrated that a predominantly vegetableprotein diet improved nitrogen balance, lowered ammonia and related metabolic markers, and modestly improved encephalopathy compared with an isocaloric, isonitrogenous animalprotein diet [121]

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[13] [14] [15] [26] It is sold as a generic drug by several drug companies in the Indian and Canadian markets, and worldwide by its originator, Novo Nordisk, under the brand names Ozempic and Rybelsus for diabetes

Willem enjoys spending time with her husband and their two children

In some embodiments, the otoprotectant is D-cysteine

95% CI 0.7, 3.86) (Fig