Figure 6

The changes of the serum bilirubin and ammonia levels during first six days after the start of the standard medical therapy. The solid line shows the changes of the serum bilirubin and ammonia levels in 5 patients who were excluded from the study because of improvement with no need of ALS. The serum bilirubin levels increased gradually in some patients (A). The serum ammonia levels decreased to less than 100 μg/dL on the 6th day after the start of the standard medical therapy (B).