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CVVHF was then commenced, with corresponding decrease in VPA and ammonia levels, and recovery over a period of 7 days, being discharged on day 11 Patient 2: Peak level 795mg/L, Early institution of IHD for 6hrs on admission to ICU, then CVVHDF overnight, and a further HD session of 9 hours on day 2

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When administered, it stimulates insulin secretion in response to food intake, helping to regulate blood sugar levels

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