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[DOI] [PubMed] [Google Scholar] 18.Chuang L, Lin W, Huang C, Lin C, Tseng T

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Acute Presentation Lethargy, altered mental status Nausea, vomiting Hepatomegaly Laboratory Findings Hypoglycemia Metabolic acidosis with anion gap Hyperammonemia There are two types of presentation, depending on the severity of the metabolic defect

( Antioxidant defense system The evaluation of the non-enzymatic antioxidant glutathione (GSH), along with the enzymatic activities of catalase (CAT), glutathione reductase (GR), and glutathione peroxidase (GPx) in liver tissue, was conducted following established methodologies ( Liver fibrosis Collagen arrangement within the liver was examined utilizing an Olympus BH2 light microscope (Olympus Optical Co., Ltd., Japan), as previously detailed by Oliva et al