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Activation of the Cori cycle comes to solve this situation by reconverting part of the lactate to glucose

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The loss of enterohepatic recirculation would definitely cause an additional loss of 5mcg of B12 that is not recovered from bile

If charcoal and ginger fail and each sip reappears, the condition is already severe enough to justify an IV dripa single litre of fluid delivered slowly contains the same liquid volume as drinking two full bottles of water but without triggering gastric revolt

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