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Acylcarnitine also functions as a regulator of numerous key enzymes and ion channels, influencing ion handling mechanisms, including the flux of Na + , Ca 2+ , and K + [120]

Continuous venovenous hemodialysis via extracorporeal membrane oxygenation pump for treatment of hyperammonemia secondary to propionic acidemia in monochorionic diamniotic twin boys

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This article covers exactly how each formulation works at the enzymatic level, what the clinical evidence shows about their comparative efficacy, and which scenarios justify choosing one over the other