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Additionally, the wash test or modified wash test can be useful in evaluating the severity of the condition (89, 93, 94)

This expert Consensus Statement presents recommendations for the management of hyperammonaemia requiring KRT in paediatric populations

If you want to clean your vulva (aka the external genital area), use only warm water and mild, unscented soap, and avoid washing inside the vagina (aka douching), which can disrupt vaginal flora and lead to more odor 5