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In addition, PGA and Kyn/Trp may have potential as biomarkers for disease monitoring and risk stratification, although their clinical utility will require validation in independent and longitudinal cohorts

The blood work showed, my liver enzymes were elevated as well as some immune markers

1 Introduction Liver diseases are mainly categorized into alcoholic liver disease (ALD), nonalcoholic liver disease (NAFLD), autoimmune liver disease (AILD), liver injury, liver cancer, etc., according to different etiologies and pathogeneses ( Increasing evidence has shown that gut microbes are closely associated with the pathogenesis of liver diseases in general ( At present, clinically effective therapeutic regimens and strategies for liver diseases are far from sufficient, which makes it an urgent issue to explore novel drugs and promising therapeutic strategies to overcome the existing deficiencies

Healthy controls who met the Diagnostic and Statistical Manual-IV Axis I criteria for a major disease or had a family history of mental disorder or alcohol abuse/dependence were excluded from the study

According to two studies analysing the evidence on B12 in plant-based foods, only the seaweeds hijiki, nori and chlorella, mushrooms, a few non-common plants and a type of fermented soya yoghurt contained some all due to bacterial activity but amounts vary with some of the samples containing no B12 (Watanabe and Bito, 2018