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38 However, although this test is the only practical way to diagnose hepatoencephalopathy in dogs, the test has a number of limitations, including differences in ammonia levels between arterial and venous (lower) samples and significant sample handling issues (ammonia is labile and results are affected by improper sample handling or lack of immediate measurement) that make its use difficult in practice
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Future research should focus on the development of HS donors that allow for more precise, controlled, and sustained release, minimizing the risks of toxicity and side effects
Ethical approval was granted by the Ethics Committee of the Health Sciences Centre, Kuwait University (No
Severe dehydration and hyperemesis commonly occur early
