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 #TypeB #Lactic #Acidosis #causes #differential #diagnosis