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( Figures 1 & 2 ) Imagine you already have a deficiency in your urea cycle activity but you have just enough activity to keep things going, then valproic acid is introduced and diminishes the ability to clear ammonia through that cycle even more

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Methodological Quality and Risk of Bias Assessment We used the Cochrane Risk of Bias 2 (RoB 2) tool (crossover extension where applicable) for assessing the risk of bias to evaluate the methodological quality of RCTs