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Add to this the fact the procedure is often traumatic, I dont really like the results on most patients

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Pediatr Crit Care Med 5(3):269274 Rodrigo R, Cauli O, Boix J, ElMlili N, Agusti A, Felipo V (2009) Role of NMDA receptors in acute liver failure and ammonia toxicity: therapeutical implications

Nalbandian et al., 2021)

The small molecule is present in every cell of the body which gives it the ability to neutralize and fight free radical damage in those areas