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doi: 10.1152/physrev.00034.2017 368 GustafsonBSmithU

Additionally, the composition of the intestinal microbiomes of the three groups was analyzed by determining the taxonomic similarity of the bacteria at the genus and phylum levels

[17] Concomitant use of topiramate also increases the risk of hepatic encephalopathy by 2 mechanisms: By blocking carbonic anhydrase and producing a degree of metabolic acidosis, which shifts the ammonium ion equilibrium towards ammonia