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AIP: Abd pain + neuro/psych sx + autonomic instability (↑HR/↑BP) + dark urine + hyponatremia | Pupils reactive (≠ anticholinergic) | Triggers: Fluoxetine/alcohol/hormones | Dx: ↑urine PBG & porphyrins | Tx: Hemin + 10% glucose | Avoid porphyrogens | Watch: Resp failure/seizures