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The prevalence of CHE was reported to be between 30% and 84% in patients with cirrhosis [7,12,13]

Assuming the diagnosis has been confirmed, ideally through repeat thyroxine (T 4 ) measurement at an external laboratory, the author would recommend these cases are treated for their hyperthyroidism

Organic zinc has been reported to enhance total protein and globulin, serum urea nitrogen, indicating enhanced protein catabolism

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