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Advances in tissue engineering, biology, and regenerative medicine support early multimodal intervention as the most rational and effective strategy

Apart from probiotic and prebiotics, their combination called synbiotic can be used that is capable of boosting metabolism of heathy bacteria and modulate the gut microbiome (188190)

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Recommendations for safe prescribing include (Lewis 2013): Reduce medication dosages in general (consult your healthcare professional before making a change) Opioid analgesics, anxiolytics, and sedatives can cause or worsen hepatic encephalopathy symptoms and should be used cautiously Non-steroidal anti-inflammatory drugs (NSAIDs) can more readily cause renal failure and gastrointestinal bleeding in patients with cirrhosis and should generally be avoided Anticancer and immunomodulating drugs