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The physical examination should be repeated every four to eight hours after presentation, with attention to the presence of altered mental status or marked firmness of the abdomen, which suggests abdominal compartment syndrome or third spacing of fluid

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Intestinal Microbiota Composition Modulates Choline Bioavailability From Diet and Accumulation of the Proatherogenic Metabolite TrimethylamineNOxide. MBio 6: e02481
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10 Hayes B , Briceno A , Asher A , Yu M , Evans JL , Hahn JA , et al