Lactic Acidosis Symptoms Nhs

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Case Report: A Rare Cause Of Severe Lactic Acidosis

1Department of Acute Medicine and Elderly Care, Walsall Healthcare NHS Trust, Walsall, West Midlands, UK 2Department of Intensive Care Medicine, Walsall Healthcare NHS Trust, Walsall, West Midlands, UK 3Department of Anaesthetics, Walsall Healthcare NHS Trust, Walsall, West Midlands, UK 4Department of Acute Medicine, City Hospital, Birmingham, West Midlands, UK Correspondence to Dr Saad Saeed, [email protected] Sarcoidosis is a multisystem disease of unknown aetiology with a classic histology of non-caseating granulomas. It most often occurs in those below the age of 50 years, and has a female preponderance. The main targets, often symptomless, are the lung and hilar lymph nodes, although liver involvement is not uncommon. Hepatic sarcoidosis encompasses a broad spectrum of presentations, from asymptomatic hepatic granulomas with slight liver function test derangement to severe liver involvement with cholestasis, advanced liver cirrhosis or chronic liver failure. Mortality due to acute liver failure is far less common than lung and heart involvement. We describe a case of fulminant liver failure with multiorgan failure presenting initially with chronic non-specific s Continue reading >>

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Popular Questions

  1. TooCute

    > in ketosis every day - stalled for 4 weeks

    Okay, i've been reading the posts in this section. I'm very discouraged by my stall because I thought if I'm in ketosis I would be losing weight. After reading the posts, it appears you can be in a stall while in ketosis. This is very confusing to me.
    So here are some of the things I eat, I guess that may be causing this. Will someone please help me figure out what I should cut out?
    Splenda - 2 packs maybe a day
    diet drinks with splenda (maybe one a day)
    shakes - 2 a week
    bars - 2 a week
    coffee - 2-3 cups a day
    cheese - 3-4 ozs a day
    whipping cream - 2 oz a day
    I eat my veggies and I drink lots of water.
    Maybe this diet is not for me. I lost 9 lbs. by the 3rd week and have since gained and lost the same 2 lbs over and over. I feel like I'm really strick with my carbs and am always in ketosis. About 3 years ago I went on Atkins and this same thing happened. After losing 12 lbs I never lost another lb for 6 months. I gave up. So does it sound like maybe I should try another diet? Thanks, TC

  2. Angeline

    What kind of coffee are you drinking ?
    Caffeine seems to stall weight loss for some people. Maybe you ought to cut that out for a week and see.

  3. agonycat

    TC, first off take a deep breath. :)
    We all go through stalls. It is quite normal for our bodies to take breaks from losing weight. Have you kept track of your measurments?
    There are many times that our scales won't move but we lose inches as our bodies move things around on us. I stalled for 8 months. No loss on the scale. No loss of inches. I did stay with it because this way of eating was actually making me feel better. I haven't had a cold since I started. My migraines are gone. My allergies don't bother me as much.
    How long did it take you to gain the weight? I gained 60 pounds over a 10 year period. I have lost 50 of those pounds in the past 12 months. If it takes me another year to get the last 10 pounds off then I am 8 years ahead of the game. Don't expect to lose the weight fast because you didn't put it on that way I am sure. This isn't a quick weight loss scheme. It is a way of life focused on how to eat correctly to keep and maintain a perfect goal weight for life.
    If you give up where does that put you? On a path to gain weight again? Regardless of what diet you pick or chose, if you don't stick with it and give it a chance to work then you will always have a wieght management problem. Don't think of this as a diet. Think of this as the way you should be eating for the rest of your life.

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