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Acute hyperammonemia dialysis suggested (this is a bit fuzzy and requires some clinical judgement, since mild hyperammonemia can occur with mild-moderate valproate intoxication)

Available online: [DOI] [PMC free article] [PubMed] 31.Handelsman D.J., Hirschberg A.L., Bermon S

According to sales rep Kimberly Henderson, The number one excuse we hear is that someone had intimate relations with a drug user

Split larger daily doses into two servings to reduce the chance of stomach upset

For example, in healthy adults, oral antibiotic treatment led to a reduction in serum MMA, implying that gut bacteria contribute to its circulating pool (Miller et al