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[PubMed: 29576255] (38 year old woman took an intentional overdose of ALA [6000 mg] and rapidly developed delirium and metabolic acidosis, thrombocytopenia and rhabdomyolysis [pH 7.26, CPK 174 rising to 5,229 U/L 24 hours later, creatinine 0.84 to 0.93 mg/dL, ALT 17 to 33 U/L, AST 20 to 119 U/L, platelets 189,000 to 64,000/L, INR 1.24 to 1.4], was treated with supportive care and recovered within 3 days)

Clinical Update 5/24/2022 Toothpaste and Rinses We answered the following questions this week as part of our broader article about "Which ingredients should toothpaste contain, and which should be avoided?" Can you safely use hydrogen peroxide rinses to whiten teeth

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