Hepatic Encephalopathy in Cirrhosis: From Ammonia Neurotoxicity to the Gut–Liver–Brain Axis, Precision Diagnosis, and Emerging Therapeutic Strategies
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Hepatic encephalopathy (HE) is one of the most complex neurological complications of cirrhosis, traditionally attributed to impaired hepatic ammonia detoxification and consequent neurotoxicity. However, contemporary evidence increasingly supports a…