The urea cycle is the liver's detox pathway for ammonia. USMLE loves it because you can predict labs by where the block occurs. Use this step by step. Step 1: Mitochondria, start Science review: Carnitine in the treatment of valproic acid induced toxicity what is the evidence? Critical Care Springer Nature Link Severe hyperammonaemia in adults not explained by liver disease Valerie Walker, 2012 Lcarnitine for valproic acidinduced toxicity Gziut 2025 British Journal of Clinical Pharmacology Wiley Online Library The neonate with hyperammonemia (Chapter 20) Case Studies in Pediatric Critical Care
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