I remain completely unaware of most of the causes that other people are trying to raise my awareness about. So why should I expect them to become aware of the things I want them to be aware of.

I've never liked noisy environments like loud pubs because I simply cannot distinguish anything anybody says. I just hear everything at once. Even though I have very good hearing as I can hear very faint distant sounds very well.

I have never used anything like noise cancelling headphones though.

Key findings:

More advanced liver cirrhosis and acute liver failure = higher Enterococcus in the gut.

In order of severity:
Healthy = Healthy controls.
Stable= Stable cirrhosis.
Decomp = Decompensated cirrhosis.
ACLF = Acute-on-chronic liver failure.

💡 Targeting gut microbiota may restore gut-liver axis homeostasis in CLD! Strategies like prebiotics, probiotics, FMT & tailored antibiotics could prevent Enterococcus dominance & slow disease progression. Huge thanks to everyone involved - this was a massive team effort!

📊 Key findings:
✅ Advanced cirrhosis = higher Enterococcus, lower beneficial anaerobes (Roseburia, Ruminococcus, Faecalibacterium)
✅ Microbial shifts correlate with systemic inflammation & gut barrier dysfunction
✅ Lower urinary hippurate & TMAO suggest microbial metabolic changes 📉 #ACLF

This research has involved contributions from @drmeriannem.bsky.social and @raymondkiu.bsky.social and others I don't have tags for here. At various institutions including @inst-of-liver.bsky.social, @kingscollegenhs.bsky.social, @kingscollegelondon.bsky.social, and @unibirmingham.bsky.social.

Not sure about the patient confidentiality though. All your deepest thoughts belong to the Chinese Communist Party now.

People campaigning for more low-carbon energy seems like a good thing.

Not enough of a fan of naturalness to walk.