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D-LACTATE L-Lactate (Endogenous): This is the familiar isomer produced by human tissue under anaerobic conditions (such as shock, hypoxia, or severe sepsis)
Genetic factors, diet composition, and dose escalation speed all influence how severe and prolonged digestive side effects become
10.1016/j.envres.2020.109453 41 LiuH.-M.ChengM.-Y.XunM.-H.ZhaoZ.-W.ZhangY.TangW.et al (2023)
Dose reduction or slower titration schedules can help manage symptoms whilst maintaining glycaemic control
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