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doi: 10.1056/NEJMra0802714 CrossRef Google Scholar View reference in article 2 EvansWKShepherdFAFeldROsobaDDangPDeBoerG

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Accelerated thiamine metabolism is observed in hypermetabolic states, e.g., during withdrawal from alcohol, convulsions, infections, diabetes, or a rapidly developing neoplastic disease, especially of the gastrointestinal tract and the hematopoietic system [5153]