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NS, YW, and NKP assisted in editing the final version of the manuscript

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We found consistent effects of ALC significantly reducing serum ammonia level and improving NCT in patients with West Haven grade 0, 1, 2 and 3 encephalopathy versus placebo prompting that ALC may be comparable to the current medications of HE, such as non-absorbable disaccharides, rifaximin, branched chain amino acids (BCAA) and L-ornithine-L-aspartate (LOLA).29 Furthermore, ALC appears to be more well-tolerated and safe with relatively low cost

By inhibiting COMT, EGCG prolongs norepinephrine's activity in the sympathetic nervous system, which drives fat cell lipolysis (the release of stored fatty acids into the bloodstream)