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On T1-weighted MRI, an increased signal in the basal ganglia is commonly observed, but those changes lack the sensitivity and specificity required to diagnose HE [227]

Both vitamin D synthesis and tryptophan metabolism are affected by UV exposure, and reduced UV exposure may impair mucosal immunity and induce changes in the gut microbiome 59

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All tests were two-sided and P 0.05 was considered statistically significant

A study involving the use of vitamin E in combination with vitamin C and beta carotene showed significantly reduced DNA damage in cats with renal insufficiency