Bears, beets, rifaximin.

Abstract

over-all makeup of the gut flora. In the last 20 years, rifaximin has developed a well-established role in the secondary prevention of HE (3,4), yet surpris-ingly, its efficacy has not been supported for its use in primary prevention (5). One of the major risk factors for the development of HE is undergoing a transjugular intrahepatic portosystemic shunt (TIPS) procedure, typically performed for compli-cations of portal hypertension, including refractory ascites and variceal bleeding. TIPS predisposes