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Concluding Remarks In conclusion, data presented in this review support the view that altered functioning of glutamine transporting moieties residing in astrocytes, contribute in a vicious circle mode, to the glutamine-driven aspect of astrocytic swelling and cytotoxic brain edema associated with ALF (Figure 1)

He has small pupils (2 mm) that are minimally reactive , decreased bowel sounds, and generalized lethargy

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