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In vivo assessment of intestinal barrier function and permeability in humans is currently possible by using intestinal permeability assays, and by the assessment of biomarkers of epithelial integrity such as soluble adhesion molecules, other biomarkers of immunity or inflammation, or bacterial markers like circulating endotoxin (Tables 4 and 5)

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Recipient comorbidities: Patients with NASH-related cirrhosis often present with multiple comorbid conditions, including obesity, cardiovascular disease, type 2 diabetes, and chronic kidney disease, all of which complicate perioperative management and impact post-transplant outcomes [123, 130]

As a result, vitamin B 12 deficiency is relatively common, especially among older people