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Immediate medical attention is required if urine odor changes are accompanied by: Signs of diabetic ketoacidosis : excessive thirst, frequent urination, nausea, vomiting, abdominal pain, confusion, fruity-smelling breath, or rapid breathing
[DOI] [PMC free article] [PubMed] [Google Scholar] 27.Devkar S.T., Kandhare A.D., Zanwar A.A
The term pernicious means harmful, and pernicious anemia causes harm to several body systems: Pernicious anemia typically affects people aged 60 to 80 of Northern European descent
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