In this review, we summarize current understanding of CHE pathophysiology, diagnostic testing, including psychometric batteries and point-of-care tools, such as the Stroop test and animal naming test, and therapeutic options, ranging from lactulose and rifaximin to microbiome-targeted approaches, including fecal microbiota transplantation
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Most patients report increased energy, elevated mood, and improved focus within 4-10 days of starting B12 therapy at La Vie Clinic
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