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More commonly, AC is used as the first capture step, the followed by one or more steps to remove remaining impurities

Evidence of abnormal mitochondrial ultrastructure in hepatocytes of patients with Wilsons disease supports the theory that mitochondria are one of the affected organelles in copper toxicity.17 There is also evidence to suggest that the mechanism of hepatocyte death in Wilsons disease is via apoptosis that may explain the typical mild elevation in the transaminases associated with hepatitis in Wilsons disease.18 Clinical Presentation One of the challenges of diagnosing Wilsons disease is the wide spectrum of clinical presentations

Amiodarone is another consideration but care should be exercised and patients monitored closely for side effects 19

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