Hepatic encephalopathy An imbalance between aromatic amino acids (phenylalanine, tryptophan and tyrosine) and branched-chain amino acids (leucine, isoleucine and valine) has been described; this would lead to the generation of false neurotransmitters (such octopamine and 2-hydroxyphenethylamine). Dysregulation of the serotonin system, too, has been reported. Depletion of zinc and accumulation of manganese may play a role. Inflammation elsewhere in the body may precipitate encephalopathy through the action of cytokines and bacterial lipopolysaccharide on astrocytes. The diagnosis of hepatic encephalopathy can only be made in the presence of confirmed liver disease (types A and C) or a portosystemic shunt (type B), as its
Your Body Is a Wonderland Bernard sing the song as a karaoke duet. Mayer agreed to let the show use the song, in exchange for a Dundie, which was for "Tallest Music Dude". In the episode of Family Guy titled "Stew-Roids", Stewie sings a song in which he pronounces the word "body" like "bah-dy", which he then explains "That's how John Mayer would say it"; a reference to the pronunciation of the word in "Your Body Is a Wonderland". Lance Bass and Lacey Schwimmer performed a rhumba to the song on Season 7 of "Dancing with the Stars". Your Body Is a Wonderland "Your Body