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In such a setting, other causes of mental status alterations should be explored.33 Ammonemia could also be a prognostic marker, not only in patients with HE, but also in patients with no neurologic symptoms, suggesting a possible toxic role of ammonia beyond the brain.32 Tranah et al

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These are three chemically related but distinct receptors that have their own distinct biology, says Richard DiMarchi, professor of chemistry and chair in biomolecular sciences at Indiana University

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In later stages, production may drop, and the rhythm can flatten

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