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Additional secondary endpoints were change in creatine kinase, fasting lipid profile and liver values between baseline and after 12 weeks of training

The cognitive capacities of memory, fine motor skills, attention, and calculation ability are affected in patients.25,27 The most characteristic sign of the neuromuscular manifestations of HE of unknown pathogeny is asterixis or flapping tremor

Kalarickal J, Pearlman G, Carlson HE