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In addition, lactulose converts freely diffusible ammonia into non-absorbable ammonium ions, thereby reducing intestinal ammonia absorption, while its cathartic effect enhances fecal nitrogen excretion and lowers systemic ammonia levels [122]

Both open (which have been successfully utilized for decades) (1), and arthroscopic repair (recognized for their reliability and effectiveness) (15), have shown comparable results in terms of DRUJ instability for TFCC tears (15,25,26)