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The most commonly used test evaluates the differential urinary excretion of the disaccharide lactulose and the sugar alcohol mannitol

Alcohol depletes glutathione levels, which increases free radical damage, weakens immune function and allows toxins to build in the body, resulting in toxic overload

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current medication management strategy is overmedicating glycaemic control and causing the liver to release stored glucose as a physiological response to hypoglycaemia

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Testing occurred in a quiet, dimly lit setting, and the apparatus was thoroughly cleaned between trials to eliminate any scent cues