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28 Chronically increased glutamine concentrations cause swelling of the glial cells resulting in so-called Alzheimer II type degeneration of astroglias.40, 41 Glial dysfunction contributes to the development of HE.40, 42 During hyperammonemia, the reserve capacity of the astrocytic glutamine synthetase is exceeded, and ammonia can enter the neurons

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We proposed to address these scenarios, which can occur in a few different ways, by establishing a new add-on code that would account for resources involved in post-operative care for a global package provided by a practitioner who did not furnish the surgical procedure and does not have the benefit of a formal transfer of care