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J Hepatol (2020) 72:42030

Glucose metabolism may become impaired in humans and canines because of aging or neurologic diseases, and ketone bodies created from MCTs may help supply the energy needed for healthy brain function in the context of these conditions

Dermatological vascular manifestations in cirrhosis include palmar erythema, characterized by blanchable redness in the thenar eminence and fingertips, is seen in 23% of cirrhosis cases due to changes in peripheral hemodynamics and increased estrogen levels, with similar conditions found in rheumatoid arthritis and diabetes