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Testing is widely available, 5,8 but expensive, and multiple conditions may falsely elevate serum homocysteine and methylmalonic acid levels (Table 3)

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Irvine KA, Ferguson AR, Mitchell KD, Beattie SB, Beattie MS, Bresnahan JC

The antibodies used in these assays are designed to bind only to particular chemical structuresprimarily small organic molecules with specific functional groups characteristic of controlled substances

(5.1) Volume depletion: Before initiating FARXIGA, assess volume status and renal function in the elderly, patients with renal impairment or low systolic blood pressure, and in patients on diuretics