Type B Lactic Acidosis
Elevated lactic acid when no systemic hypoperfusion is apparent
Causes:
 • Drugs (metformin, linezolid, epinephrine, albuterol, nucleoside reverse transcriptase inhibitors)
 • Warburg effect
 • Beta agonist activity
 • Liver failure (inability to clear) 
 • D-lactate 
 • Mitochondrial myopathies & inborn errors of metabolism
 • Thiamine deficiency

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