Reversible weakness and encephalopathy while on long term valproate treatment due to carnitine deficiency BMJ Case Reports AMMONIA KIDNEY AND SUGAR EFFECT Elevated blood sugar causes increased potassium [K+] excretion. Potassium has a strong alkalizing effect [makes the urine basic] and changes the pH of the urine. This basicity Hyperammonemia in Inherited Metabolic Diseases Cellular and Molecular Neurobiology Springer Nature Link Impaired brain function improved by l carnitine in patients with cirrhosis: evaluation using near infrared spectroscopy Scientific Reports
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