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In addition, probiotics improve the function of phagocytes and NK cells, trigger apoptosis in T cells, increase anti-inflammatory cytokines (such as IL- 10 and TGF-), and reduce pro-inflammatory cytokines (such as TGF- and IFN-) [152, 153]

On the other side of ACM, a lining of microvascular endothelium along capillaries regulates vessel permeability and maintains tissue hemostasis by secreting a variety of active enzymes [3]

For example, in some studies that suggest L-theanine can promote better sleep, the L-theanine supplements studied also included several other sleep-supportive ingredients

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Further studies with higher doses of L-carnitine supplementation would be needed to confirm the possible beneficial effects on the improvement of covert hepatic encephalopathy and liver function