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Pre-mixed vials must ship in insulated containers with gel packs or dry ice to maintain 28C throughout transit
Critically ill patients are under consistent biological stress conditions, wherein lactate will be derived from anaerobic glucose metabolism (glycolysis), which produces energy 23 times faster than oxidative phosphorylation, and is vital to critical patients who are in an energy crisis [31]
Pediatr Neurol 2003, 28: 24-27
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