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The challenge is that recovery depends on having the right raw materials available at the right time: fluids for cellular function, electrolytes for nerve and muscle signaling, vitamins for enzymatic reactions, minerals for tissue repair, and antioxidants for managing the oxidative stress that any significant physical demand creates

10 Congenital lactic acidosis can be the result of a primary deficiency of pyruvate carboxylase or pyruvate dehydrogenase or can be secondary to a defect within the mitochondrial respiratory chain

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