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Hyperammonemia induces astrocytic dysfunction, brain edema, and neuroinflammation, while systemic inflammation, oxidative stress, sarcopenia, gut dysbiosis, and altered microbial metabolites, including bile acids and short-chain fatty acids, further modulate disease expression

Clinical side effects leading to discontinuations from these studies were most commonly gastrointestinal (abdominal pain, nausea, vomiting, diarrhea), and rashes

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For others, especially those sensitive to internal changes, the early transition can temporarily influence mood, sleep patterns, and nervous system activity

Follow-Up Care: Youll receive guidance on aftercare and any recommended lifestyle changes