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Arterial blood gas (ABG) performed on admission revealed severe metabolic acidosis with normal lactate level and anion gap of 32 (pH 6.9

It has identified serious concerns with compounded versions of semaglutide and tirzepatide, including dosing errors, use of unapproved salt forms, and adverse events that in some cases have put people in hospital

Avoiding excessive fluid intake immediately before or during meals can preserve limited gastric capacity for nutrient-dense foods

Despite its importance, vitamin B12 deficiency is surprisingly common, particularly in the UK, where it affects around 6% of people under 60 and up to 20% of those over 60