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Manson JE, Cook NR, Lee I-M, Christen W, Bassuk SS, Mora S, Gibson H, Albert CM, Gordon D, Copeland T, et al

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Reciprocal changes in serum concentrations of 3,35-triiodothyronine (reverse T3) and 3,35-triiodothyronine (T3) in systemic illnesses

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Even if they did measure an ammonia level, they often dont realize that hyperammonemia was pivotal in causing the patients death