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Mass spectrometry imaging reveals lipid upregulation and bile acid changes indicating amitriptyline induced steatosis in a rat model

Initial laboratory examination showed severe hypoglycemia and metabolic acidosis (blood glucose was 12 mg/dL, HCO 3 3.5 mmol/L, pH 7.0, base excess 27 mEq)

Furthermore, carnitine is important to maintain the acetyl CoA / CoA ratio constant inside the cell