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OAT Results (selected abnormal findings): Elevated fumaric acid and citric acid (mitochondrial dysfunction) High pyroglutamic acid (glutathione depletion) Elevated arabinose (yeast overgrowth) Elevated methylmalonate (B12 deficiency) Elevated oxalic acid (possible gut or metabolic stress) Interpretation and Plan: Mitochondrial Support: Added L-carnitine, CoQ10 to support cellular energy

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Additionally, incretins impede glucagon release from pancreatic alpha cells, thereby curbing hepatic glucose production