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Pelame, LLC did not have any role in the decision to publish this research, but did provide minor revisions to the manuscript draft prior to submission

3.2 Effects of oral microbiota on gut microbiota 3.2.1 Bacterial transfer: how oral bacteria migrate to and colonize the gut Humans ingest 11.5 liters of saliva into the gut daily through swallowing, a process that represents a significant pathway for oral bacteria to disrupt the balance of gut microbiota

Covert HE (CHE) includes minimal encephalopathy in which cognitive impairment cannot be identified without a cognitive function test and West-Haven criteria grade 1 HE, which means mild cognitive or behavioral change without disorientation [210]