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Peak levels can be delayed by 18 hours Volume of distribution is 0.1 0.2 L/kg Highly protein bound It is metabolised in the liver to multiple active metabolites Resuscitation: Attention to ABC: The need for intubation should be anticipated and performed early in anyone with a declining GCS

BMC Med 9:23 Potter M, Walker MM, Talley NJ (2017) Non-coeliac gluten or wheat sensitivity: emerging disease or misdiagnosis

thus, dietary and lifestyle changes, particularly early in the course of CKD, can be very helpful in preserving kidney function and overall health

Scher HI, Fizazi K, Saad F, Taplin ME, Sternberg CN, Miller K, et al