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Metabolism of Nutrients : It is involved in the metabolism of fats, proteins, and carbohydrates
Chronic liver injury, irrespective of etiology, can trigger a response that leads to hepatic fibrosis characterized by excessive extracellular matrix deposition

These interrelated processes explain why hydrogen sulfide SIBO not only causes gut symptoms but also contributes to systemic issues such as fatigue, brain fog, and even neurological disturbances

Retrovirology 15 , 51 (2018)

Potential masking of underlying hepatic or systemic disease Delayed diagnosis due to symptom suppression Medical supervision is essential to ensure appropriate patient selection, correct dosing, and timely identification of adverse reactions
