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a common cause would be a patient with GI bleeding, where persistent blood in the gut can cause persistent ammonia elevation
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In a study conducted on cancer patients undergoing chemotherapy, the prevalence of taste alterations was reported to be as high as 69.9%, and a significant association was found between taste alterations and a change in patient's quality of life such as appetite and fatigue (Zabernigg et al., 2010)
As the overall metabolite content of EBC was low, as has been previously reported 58 , there may have been metabolites present that were below the limit of detection for the mass spectrometry method used
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