GPT and Cirrhosis: Furthermore, a human study showed that a synbiotic, consisting of several pro- (4 non-urease producing bacteria: Pediacoccus pentoseceus 5–33:3, Leuconostoc mesenteroides 32–77:1, Lactobacillus paracasei 19, Lactobacillus plantarum 2592) and prebiotic (β-glucan, inulin, pectin, resistant starch) components, significantly improved serum ALT and LPS levels as well as signs of hepatic encephalopathy in 50% of patients with cirrhosis of different origin [48].