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Clinical symptoms of hyperammonemic encephalopathy often include acute alterations in level of consciousness and/or cognitive function with lethargy or vomiting

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37 Caution is advised in patients taking anticoagulants or antiplatelet therapies, although this is not a clear contraindication

Nguyen, MD, Mohamad Abdalkader, MD, Ansaar Rai, MD, Sohyun Boo, MD, Tareq KassHout, MD, Michael Hurley, MD, Ali SultanQurraie, MD, Eugene Lin, MD, Curtis Given, MD, Lucas Elijovich, MD, Aamir Badruddin, MD, Nazli Janjua, MD, Richard Jung, MD, Priyank Khandelwal, MD, Christopher Southwood, MD, Aniel Majjhoo, MD, Waldo R

Bordignon, P