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Nevertheless, our cases represent real life multidrug poisonings with possible non-identified co-ingested drugs based on the routine screening, risk of drug-drug interactions and no modifications in management with time

Celiac panel Fat soluble vitamins (A, D, E, K) (May have fat malabsorption) Metabolic studies: Lead level, CBC, complete metabolic panel, plasma quant amino acids carnitine (total, free, esters), acyl-carnitine panel (plasma), urine organic acids, lactic acid, comprehensive fatty acid profile (C8-26) A sendout to Mayo clinic but other labs do it too

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