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Patients who develop symptoms of unexplained hyperammonemic encephalopathy while receiving valproate therapy should receive prompt treatment (including discontinuation of valproate therapy) and be evaluated for underlying urea cycle disorders (see Contraindications and Hyperammonemia and Encephalopathy Associated with Concomitant Topiramate Use as follows)
It engages in synthesizing selenoproteins, which are essential for antioxidant defense and regulating thyroid hormone levels

Importantly, when researchers blocked TGF- signaling, the pro-bone benefits of MOTS-c were diminished, confirming that the TGF-/Smad pathway is crucial to MOTS-cs action in bone
