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The transport of L- and DL-carnitine into the motor nerve terminal might be produced by interaction of carnitine isomers at sites different from those used by choline since the choline transporter has sites with high and low affinity for choline (32)

CONTENTS Intro: Hyperammonemia is a serial killer Clinical presentation & diagnosis Causes Investigation & monitoring Management [1] Neurocritical care of hyperammonemia [2] Reduced enteral ammonia absorption [3] Basic nutritional manipulations [4] Discontinue potentially offensive medications [5] Consider treatment for infectious etiologies [6] Consider zinc supplementation [7] Consider carnitine supplementation [8] Consider additional vitamins [9] Consider L-arginine administration [10] Support renal clearance & consider CRRT [11] Sodium phenylacetate plus sodium benzoate (Ammonul) hyperammonemia is a serial killer hyperammonemia is a serial killer Nonhepatic hyperammonemia behaves like a serial killer

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A 1991 study described hair follicle-stimulating properties of peptide copper complexes in C3H mice, and a 2007 study investigated AHK-Cu, a related tripeptide-copper complex, in human hair follicle models [6], 13

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