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Thus, sodium hydrogen carbonate was administered intravenously to correct the acidbase imbalance, after which the treatment was gradually changed to oral administration

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In detail, epigenetic modifications lead to mutations on enzymes involved in metabolic pathways (among which the best noted are SDH, FH, and IDH) which in turn cause the accumulation of oncometabolites (as mentioned before, succinate, fumarate, and 2-hydroxyglutarate) that stimulates alterations in DNA and histone modifications [28]