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This disruption results in increased ammonia production in the kidneys and diminished liver capacity for ammonia metabolism, culminating in elevated ammonia levels and various toxic effects (Schiavo et al., 2023

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This patient's episodic flaccid weakness and lack of muscle spasms or hyperreflexia make an abnormality in serum calcium unlikely

A full list of centres that contributed to the generation of the data is available from deciphergenomics.org/about/stats and via email from [email protected]