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Int J Tuberc Lung Dis 22(12):1481-5 2018 Wright SW, Emond MJ, Lovelace-Macon L, Ducken D, Kashima J, Hantrakun V, Chierakul W, Teparrukkul P, Chantratita N, Limmathurotsakul D, West TE

L-ornithine is involved in the urea cycle, aiding in the removal of ammonia, a toxic byproduct of protein metabolism

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Diagnosis To diagnose CHE, the patient must have 1) a disease that can lead to CHE, such as liver cirrhosis or a portosystemic shunt, 2) no other neurological disease, 3) no neurological manifestation such as disorientation or asterixis, and 4) abnormal cognitive or neurophysiologic functioning

Low-dose lithium supplements deserve more attention from the scientific community as a potential support for mood disorders