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Fourth, following the improved results of PHES in both groups without significant change in serum ammonia levels, we could not exclude the possibility of learning effects that patients could have achieved during the repeated examinations throughout the study period

(15) reported that autistic patients with gastrointestinal manifestations had significantly decreased levels of serum carnitine compared with patients without such manifestations

doi: 10.1016/j.tem.2025.07.003 138 CosentinoNTrombaraFDe MetrioMMolinariCGenoveseSPontoneGet al
