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World J Crit Care Med

K91 with a new putative catalytic mechanism
[DOI] [PMC free article] [PubMed] [Google Scholar] Liang B., Ferguson K., Kadyk L., Watts J.L

Acetic acid + acetic acid gives an anhydride (acetic anhydride)
High levels may be a sign of dehydration, adrenal gland disorders, kidney problems, and diabetes insipidus (a disorder of your kidneys or pituitary gland that makes you very thirsty so that you drink and pee a lot)