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55–57 At this time, albumin is not Food and Drug Administration-approved nor guideline-recommended (AASLD 2014) for the treatment of HE, though it is mentioned as possible alternative therapy pending further study

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DAC, by contrast, binds albumin and stretches its half-life to days, which the Teichman data put at 5.8 to 8.1 days, giving a longer, more sustained GH signal with fewer injections