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[DOI] [PMC free article] [PubMed] [Google Scholar] 78.van der Valk F, Hassing C, Visser M, Thakkar P, Mohanan A, Pathak K, Dutt C, Chauthaiwale V, Ackermans M, Nederveen A, et al

This hypercatabolism is evident by our data demonstrating depletion of amino acids and upregulation of the urea cycle as judged by elevated levels of urea cycle metabolites such as citrulline

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If your dog has been limping, struggling to get up in the morning, or just seems less like themselves after a walk, youve probably gone down the rabbit hole of treatment options