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Baseline serum albumin emerged as the only independent predictor of mortality in the main Cox model, and infections and hepatic encephalopathy during follow-up were strong predictors in the extended model

Although protein loading has historically been thought to precipitate hyperammonemia and worsen HE, such a condition appears to be uncommon in real-world clinical practice [116, 117]

Chemotherapy drugs Due to its antioxidant properties, ALA may interfere with the efficacy of certain chemotherapy agents, including alkylating agents and antitumor antibiotics

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