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Additionally, caregiver and financial burdens are highly widespread. Multiple tools occur to evaluate quality of life, such as the CLD-Q questionnaire. Common treatments for HE, including rifaximin and lactulose, have already been proven to improve general quality of life. Hepatic encephalopathy (HE) is a frequent indication for hospitalization and signifies a common manifestation of portal high blood pressure and decompensated liver disease that contributes