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OROT: Orotic acid, random, urine OAU: Urine organic acids screen AAPD: Urine amino acids management of hyperammonemia management of hyperammonemia getting started: risk stratification and aggressiveness of treatment Notes : Status epilepticus may cause a very abrupt, transient rise in NH3

Best administered on an empty stomach (fasting) for optimal GH release

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R.et al (2025)