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Table 1 Summary of the serum ammonia level and state of consciousness

From: Sudden development of adult-onset type II citrullinemia after total gastrectomy: a case report

  NH3(μg/dL) State of consciousness Diet before symptom onset BCAAs
Days after operation
 13 478 Coma Ordinary Nothing
 15 52 Alert NPO i.v.
Days after adjuvant chemotherapy
 14 46 Aberrant behaviors Ordinary Nothing
 28 858 Coma Ordinary Nothing
 29 93 Coma NPO i.v.
 30 51 Alert NPO i.v.
Days after starting nutritional therapy
 1 NM Alert NPO Nothing
 7 237 Coma Low-carbohydrate, high-protein/fat i.v.
 8 156 Aberrant behaviors NPO i.v.
 11 442 Coma Low-carbohydrate, high-protein/fat i.v.
 18 13 Alert NPO Nothing
 27 47 Alert Low-carbohydrate, high-protein/fat Nothing
 28 478 Coma Low-carbohydrate, high-protein/fat i.v.
 29 52 Drowsiness NPO i.v.
 30 12 Alert Unbalanced p.o.
 36 148 Aberrant behaviors Unbalanced p.o.
 37 NM Alert Unbalanced p.o.
 39 125 Drowsiness Unbalanced p.o.
 42 NM Alert Unbalanced p.o.
 44 147 Drowsiness Unbalanced p.o.
 45 NM Alert Unbalanced p.o.
  1. NM Not measurement, NPO Nothing per os, i.v. Intravenous injection, p.o. Per os
  2. Unbalanced diet means taking only nut, cheese, fish, and small amout of carbohydrate