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B12 exists in several forms, with methylcobalamin and adenosylcobalamin being the metabolically active forms in the human body

Introduction Hyperammonaemic encephalopathy (HE) is a condition characterized by dysfunction of the central nervous system due to excessively high levels of ammonia (NH 3 ) in the blood (hyperammonaemia) (Albrecht et al., 2007)

The MAPK family includes important serine/threonine protein kinases such as c-jun N-terminal kinase (JNK), p38, and extracellular signal-regulated kinase1/2 (Erk1/2) [142]

This medication helps reduce symptoms of nerve damage such as numbness, tingling sensations, and muscular weakness