By vgreene, 11 July, 2024 Exclude Patient Type Detail Header No Detail Type Text Detail Text Decreased urinary ammonium excretion insulin resistance gout ADPKD Increased endogenous acid production insulin resistance metabolic syndrome or exercise induced lactic acidosis Increased acid intake high animal protein intake Increased base loss diarrhea Patient Type Detail Header (Long) DDx of uric acid stone w/ low urine pH