Venous blood gas assessment confirmed severe metabolic acidosis, with pH 7.066, pCO 2 10.1 mmHg, HCO 3 7 mmol/l, BE -26,1 mmol/l.Capillary ketones (beta-hydroxy butyrate) were 5.1 mmol/l, urinalysis revealed ketonuria and glucosuria
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demonstrated that EcN upregulates tight junction proteins zonula occludens-1 (ZO-1) and zonula occludens-2 (ZO-2), thereby preserving mucosal integrity and reducing permeability (82)
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