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Relevantly, many patients tend to receive only a partially efficacious treatment due to lack of awareness of the disorder.112,113 Thus, all patients with CVS are recommended to have an individualized treatment plan for improving results (Table 3).114 Treatment protocol for patients diagnosed with CVS in the emergency room CVS: Cyclic vomiting syndrome

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Dysregulation of these factors in the eye can lead to corneal melting and scarring with deleterious consequences

23 Statement #1: strong recommendation, low quality evidence (1C) Any individual at any age who presents with any of the following symptoms should undergo prompt plasma ammonia determination: Acute unexplained encephalopathy Acute neurological illness Suspected sepsis in a newborn Developmental delay of unknown cause Recurrent vomiting Acute liver failure, elevated transaminases of unknown cause Ataxia Headache, especially if episodic in women Coma or stupor Psychiatric symptoms Aversion to protein