Researchers from Boston University School of Medicine (BUSM) have identified a new syndrome affecting potentially thousands of hospital inpatients. Coined SHAKE (Supplement-associated Hyperammonemia After C(K)achetic Episode), the condition, which results in altered mental status and difficulty walking, can be prevented by excluding high protein dietary supplements in a patients' diet if they have experienced poor eating for more than a week prior to their admittance. The condition is described in the March issue of the Archives of Internal Medicine.