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In our practice, patients anecdotally report lower ketone levels prior to identification of carnitine deficiency

A systematic review and meta-analysis in humans described that a high dose of caffeine, equivalent to approximately 5 cups of coffee (400-750 mg), can trigger and exacerbate panic attacks in adults [9]

Patients should keep fast-acting glucose tablets on hand and be instructed to check a fingerstick glucose when symptoms appear rather than assuming gastrointestinal side effects from the injection

This underscores Lewis's emphasis on using medication as a tool while developing sustainable habits

I tell patients when they're traveling, if they can, to try to get IV fluids the day of a flight