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It can also cause a "fishy" odor of the urine, breath, and sweat

doi: 10.21037/tau.2019.08.06

Assessing autonomic dysfunction in early diabetic neuropathy: the Survey of Autonomic Symptoms
The genetic testing is performed primarily to identify mutations in a specific gene (the SLC22A5 gene) Many clinical conditions may have similar signs and symptoms

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Askarpour M et al., 2019
