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In contrast, a worsened clinical course, higher hypermagnesemia, and emerging hyperkalaemia might cause both l-NAME and l-arginine to affect the same events adversely

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doi: 10.1016/j.ejim.2014.09.007 18

"I feel it in my knees, and mainly I feel it in my soul," she says

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Your doctor will check your medical history, do a physical exam, and order lab tests