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As adults are more susceptible to hyperammonemia, emergent hemodialysis is mandatory before referral to a reference center if ammonia levels are above 200 mol/l as the risk of cerebral edema is then above 55%

Conclusion When comparing L-citrulline and L-arginine, the key differences lie in their bioavailability, duration of effects, and specific health applications

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2015;6(2):e02481

Impact of fatigue on quality of life Fatigue is not only present in people with progressive MS but also in the early stages of the disease (Jameen et al., 2019

[DOI] [PMC free article] [PubMed] [Google Scholar] 201.Sesack S.R., Carr D.B., Omelchenko N., Pinto A