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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
Of note, ex vivo isolated islet experiments do not simulate the full range of regulation present in vivo under T2DM conditions [207], which requires further investigation to clarify
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