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It has good functionality in distinguishing those patients at the lower and higher ends of the scale, but the main limitation lies in accurate identification and discrimination of grade 1 HE from those who have no HE and those with mHE due to significant inter- and intra-observer inconsistency [7]

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When used correctly, it can support a brighter and healthier-looking complexion

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Risk of bias was assessed using the Risk Of Bias In Non-randomized Studies of Interventions (ROBINS-I) tool, and methodological quality was evaluated using the Newcastle-Ottawa Scale

Nutrients 17, 1972