The answer is high pressure. In a nuclear reaction process, high temperature and high pressure is required for turning hydrogen nuclei into a helium nucleus. It is impossible for it to happen simultaneously because it requires tremendous amounts of energy. Extreme conditions are required for the atoms to overcome electrostatic repulsion.
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Answer:
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Blood urea nitrogen (BUN) and creatinine tests can be used together to find the BUN-to-creatinine ratio (BUN:creatinine). A BUN-to-creatinine ratio can help your doctor check for problems, such as dehydration, that may cause abnormal BUN and creatinine levels.