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D-lactate is oxidized to pyruvate in the presence of D-lactate
dehydrogenase and nicotinamide adenine dinucleotide phosphate
(NAD). The reaction proceeds because the pyruvate is continually
removed as a pyruvate-hydrazone complex. The quantity of reduced
NAD produced is directly proportional to the amount of D-lactate
oxidized and is measured spectrophotometrically at 340 nm. (Oh MS,
Phelps KR, Traube M, et al: D-Lactic acidosis in a man with the short-
bowel syndrome. N Engl J Med 1979;301:249-252; Dahlquist NR,
Perrault J, Callaway CW, Jones JD: D-Lactic acidosis and encephalopathy
after jejunoileostomy: response to overfeeding and to fasting in humans.
Mayo Clin Proc 1984;59:141-145)

