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Steady state (Weeks 38): Continue the same daily dose
Perform pH testing periodically to monitor the water quality and adjust as needed
Thiamine deficiency adversely affects the activity levels of these enzymes, with TK, through thiamine-dependent erythrocyte transketolase (ETK) activity, common biomarkers of thiamine status, since it is particularly sensitive to thiamine levels and AKD often exhibiting the earliest detectable changes (41)
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