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Abstract Glutamate is the most abundant excitatory neurotransmitter, present at the bulk of cortical synapses, and participating in many physiologic and pathologic processes ranging from learning and memory to stroke

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The lowering of serum glucose by ALA suggests that ALA increases glycolysis and the conversion of pyruvate to acetyl-CoA while not affecting gluconeogenesis

The most common risk factors are elderly patients with multiple comorbidities such as cardiopulmonary diseases, diabetes, obesity, and hypertension

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