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e,h , Observed adducts and fragments in negative ( e ) and positive ( h ) ion ESI-MS, their calculated monoisotopic masses, as well as the expected and observed number of 18 O incorporations

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In patients who still experience symptoms of deficiency, it could be that there is an undiagnosed condition preventing the body from absorbing the nutrients

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Once life-threatening causes are excluded and acute alterations are treated, the patient should be referred to an appropriate pediatric specialist (e.g., gastroenterologist, surgeon, neurologist, metabolic experts), to avoid inappropriate further ED visits and a delay in the diagnosis and preventive therapy in case of CVS (130)

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