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She presented to the emergency department with hypoglycemia (68 mg/dL) and severe highanion gap metabolic acidosis (pH 7.22, bicarbonate 10 mmol/L, anion gap 22.6 mmol/L)

Which, notably, isnt far off what many national data sets are already showing." Jon is not dismissing other factors

Conclusion Our study offers novel insights into PBH pharmacotherapy, indicating that PBH patients with a history of cholecystectomy require elevated doses of acarbose for symptom control than PBH patients without such surgical history