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Valproate-associated hyperammonemic encephalopathy

The vagus nerves afferent and efferent fibers are the primary source of the neurological circuitry that mediates this connection (54)

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however, this new state is often described as intermediate, distinct from both the pre-treatment CF state and that of healthy controls, with evidence of incomplete resolution of neutrophilic inflammation (Maher et al., 2024)