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A 2020 meta-analysis of four studies one observational and three randomized controlled trials found no benefit of intravenous thiamin for improving lactate concentrations, length of hospital stay in intensive care, or overall survival (106)

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Rekha Kumar, a practicing endocrinologist in New York City, told Flow Space that this can be due to low blood sugar levels, which can be a side effect of taking GLP-1 drugs

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