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Microdosing may not provide the full therapeutic benefits of standard dosing, and any dosing adjustments should be made under medical supervision to ensure both safety and effectiveness

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Because her serum toxicology screen was negative, our patients urine was sent for organic acid detection by gas chromatographymass spectrometry, which demonstrated a markedly increased excretion of 5-oxoproline at the peak of her acidosis, 10 days into her admission

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