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These factors include dietary elements, such as short breast feeding or early exposure to cows milk 5 as well as the early introduction of gluten into the diet, 6 all of which possibly interfere with carnitine and amino-acid metabolism

Although changes in the GABA/Glx ratio have been reported in other diseases (73, 7880), association with decreased NAA and increased Glx/NAA may be specific to ALS

Using a standardized form two reviewers extracted data on participant characteristics (study population, type of HE, intervention characteristics, mean duration of follow-up, and outcome events)

Refrigeration recommended after reconstitution

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