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On the molecular level, it was observed that DNA-damaging chemotherapeutics increased mitochondrial elongation and OXPHOS, but microtubule poisons (e.g

with known urea cycle disorders [see Warnings and Precautions (5.6)]

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doi: 10.3390/biom12081161 384 BraunSZauckeFBrenneisMRappAEPollingerPSohnRet al

Jul 18 2023;148(3):286-296

If DNA testing would not be helpful, other methods of carrier testing may be available