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Nutrition and branched-chain amino acids Malnutrition can lead to a paradoxical increase in ammonia and decreased survival by influencing protein turnover [89], increasing susceptibility to infections, impairing immunocompetence [90] and inducing malabsorption [91]

(That being said, it bears repeating that more research in humans needs to be done on this topic

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An analysis of body-focused repetitive behaviors in people with hair-pulling