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After confirming that the AG remains within normal limits, it is worth considering other causes beyond RTA—such as the loss of bicarbonates from the gastrointestinal tract (e.g., due to diarrhea, fistulas, or bladder reconstruction surgeries), the metabolism of anions such as butyrate, acetate, or lactate, which can be converted into HCO 3 − , and toluene poisoning (e.g., through inhaling glues or paints) [100]
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16, 2021 It is with great sadness that we learned today of Ricardo Perez Dulzaides’ passing