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Both animal [76] and human [77] studies suggest that VPA-induced hyperammonaemia may be enhanced via renal rather than hepatic mechanisms

Salas Whalen puts it very directly

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"The big strategic concept here is that a qualified medical expense that is incurred any time after the HSA has been opened can be reimbursed at the time of service or any time thereafter," says Malcolm

However, it is always advisable to consult a healthcare professional before combining multiple products to ensure safety and optimal results