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In severe TBI, a multi-center retrospective study of 87 patients found that cerebrolysin-treated patients showed faster recovery rates, more significant improvement in GCS/GOS scores, and shorter hospital stays compared to standard treatment alone

However, disturbances in the balance and composition of the gut microbiota, known as dysbiosis, can enhance intestinal permeability

But some of them come at a cost

Pre-supplementation testing of TPO antibodies, TSH, free T4, and glutathione-dependent enzyme activity (GPx, GR) informs realistic expectations and treatment personalization

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