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Economic Challenges and Lack of Incentives for Pharmaceutical Companies From an economic point of view, there is very little investment in antibiotic research and development (R&D) from the pharmaceutical industry to allow the development of new antibacterials [59]
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Therefore, proposed European guidelines for the management of acute hyperammonaemia in patients with propionic or methylmalonic aciduria recommend that initial treatment should be started without delay, at the same time as the diagnostic workup
If you want to see one of our dietitians at Guardian Dietitian, you can make an appointment here: References Al-Aly, Z., et al., 2025
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