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Case reports have documented Lactobacillus bacteremia and Saccharomyces fungemia in vulnerable populations, with the latter particularly associated with central venous catheter use, though incidence remains extremely low

Nevertheless, high levels of ketone bodies have been associated with an increased mortality risk (68)

2023 NEJM SELECT 1 7,604

It must not be used for any form of clinical or diagnostic application

And care should be collaborative, not corrective

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