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Ive seen this happen in two general scenarios: Scenario 1 : A patient is on chronic valproic acid, he/she may have mildly elevated ammonia levels from time to time and then these levels are noted to be increased from the patients baseline
Curr Opin Biotechnol (2013) 24(2):1608
If you have already tried other medications, documentation may satisfy the requirement
Effect of hyperammonemia on the levels of carnitine in mice
In addition, studies have shown that during the adult liver progenitor cells (HPC)/oval cells involved in the repair of chronically injured livers, the HGF/c-Met pathway plays a crucial contribution in regulating TGF--mediated epithelial-mesenchymal transition (EMT) responses
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