microRNAs have the potential to paint a much more detailed picture
Taken together, disruptions in short-chain fatty acid-related metabolism, gut-derived inflammation, bile acid signaling, and ammonia/nitrogen handling support a mechanistic contribution of the gut-liver axis to HE ( Fig
Dowlati Y, Herrmann N, Swardfager W, Liu H, Sham L, Reim EK, et al
Our findings demonstrate that the combined supplementation of 2 M Lup + 0.75 M Vit A significantly increased the activity of key of antioxidant enzymes, including SOD, CAT, and GSH-Px, leading to enhancing free radical scavenging and inhibiting lipid peroxidation [34]

This might explain the reticence that leads to the following appalling statistics from the most recent research from PAS on people with a Pernicious Anaemia diagnosis : 17% waited up to 1 year for correct diagnosis 19% waited 5 years 33% waited 5 years or more 4% waited 10 years 14% waited 10 years or more for their diagnosis 44% were originally misdiagnosed with MS/ depression/ ME/ Chronic Fatigue Syndrome The good news is that there is research being carried out that clearly shows a good reason why some of us cannot survive on the 3- month regime that many in the UK are stuck with (and having to resort to self-injection just to be able to stop deteriorating)- and the Pernicious Anaemia Society are responsible for initiating this research