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Finally, HE episodes are described as nonprecipitated or precipitated, in relation to whether a triggering factor is found or not.1 Pathophysiology of encephalopathy Historically, the presence of elevated toxin levels in the cerebral parenchyma have been involved in the pathophysiology of HE, with ammonia (NH3) as the main agent

if patients are allergic to one thing, might they also be allergic to something else