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Individuals presenting with two or more of the following symptoms that occurred within two weeks of ingesting dietary supplement manufactured in the USA exclusively for Total Body Essential Nutrition, Inc: hair loss, muscle or joint pains, fingernail discoloration or changes, headache, foul breath, weakness, gastrointestinal symptoms (such as nausea, vomiting, diarrhea or abdominal pain), rash, oliguria/anuria or abnormal renal function tests, jaundice or abnormal Additional tests on admission should include a renal function test, liver function tests (because of signs of jaundice in this patient), a random blood glucose to check for hypoglycaemia, particularly in the presence of impaired consciousness, and a urine dipstick test for the presence of haemoglobinuria. It should also involve liver and renal function tests. |
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