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Diagnosis and etiologies of hyperammonemia Diagnosis of hyperammonemia Acute hyperammonemia is usually triggered by protein catabolism caused by prolonged fasting, fever, infections, gastrointestinal bleeding, dehydration, high protein intake, anesthesia, and surgery

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DOI:10.3390/ijerph16224469 19

The review suggests their effects may be comparable, and because they use different mechanisms, combining them could provide additive benefits