instruction: hello doctor experience episodes of extreme weakness lethargy tiredness unable to get out of bed going to the bathroom often at night two years back had egg proven tach after an episode went on for several days have had labs done close to two episodes a month back carbon dioxide was slightly low at 19 with trace blood in urine and us 05 and urine oh second one recently again this month had mild low bicarbonate
output: hello I went through your reports and labs that you sent you have one report showing slightly low normal potassium level of 8 tac can be because of low potassium level there can be condition called as distal renal tubular acidosis for which check urine sodium potassium and chloride and creatinine and we have to calculate urinary union gap also since how long you are taking methotrexate