But if you read that abstract, it's about diagnosing blood diseases, and suggests based on surveys of different studies of current people's blood levels that levels above 30mEq/L be flagged as out of normal. It doesn't discuss harms or outcomes.
High bicarbonate in blood is not a blood disease, in the same way that high glucose in blood is not a blood disease either. High bicarbonate leads to severe and serious problems that can be fatal in those with weak lungs or a weak heart and in children and the elderly. Even in healthy persons, high bicarbonate will lead to low extracellular potassium which is immediately detrimental to the heart. I have experienced it first hand. There is a reason why bicarbonate in blood has a reference range.
But if you read that abstract, it's about diagnosing blood diseases, and suggests based on surveys of different studies of current people's blood levels that levels above 30mEq/L be flagged as out of normal. It doesn't discuss harms or outcomes.
So even "potentially toxic" seems baseless.