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IMMEDIATE BEDSIDE MANAGEMENT Order a Specific Assay: If a patient has a history of bowel resection and presents with an unexplained high anion gap metabolic acidosis alongside neurological symptoms, explicitly request a dedicated serum D-lactate assay
treat as directional
Additionally, L-carnitine reduces blood sugar levels and improves insulin sensitivity
Lower use of psychiatric medications, particularly selective serotonin reuptake inhibitors (SSRIs), was also observed among incretin-based therapy recipients compared with matched comparator groups
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