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Medical Management of Kidney Stones: AUA Guideline

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Malnutrition leads to an imbalance in amino acids, characterized by decreased BCAAs and increased aromatic amino acids, resulting in reduced mammalian target of rapamycin signaling, impaired protein synthesis, hypoalbuminemia, and ultimately worsening of HE [41, 79, 80]

Non-diabetic users tend to respond better, but the drug works in both groups [1]

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