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These include: lack of awareness among emergency department physicians about proper management of hyperammonemia, strained communication between physicians at primary, secondary, and tertiary hospitals, and shortage of the medications used in the acute management of hyperammonemia

Authors contributions Wrote the manuscript and prepared the figures (SR), proposed the idea for the review and critically revised the manuscript (GYW).

What You Get 180 Acetyl L-Carnitine 400 easy-to-swallow capsules This statement has not been evaluated by the Food and Drug Administration

Its free-base form, although less common, exhibits increased volatility and solubility in organic solvents