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In older adults, I often interpret MMA above 0.40 mol/L cautiously if eGFR is below 45, because renal clearance becomes a confounder

Baugh RF, Basura GJ, Ishii LE, Schwartz SR, Drumheller CM, Burkholder R, Deckard NA, Dawson C, Driscoll C, Gillespie MB, Gurgel RK, Halperin J, Khalid AN, Kumar KA, Micco A, Munsell D, Rosenbaum S, Vaughan W

First-pass interpretation at result review The first pass stays with the report itself: the numeric value, the unit, the laboratory reference range, and the assay used, since each changes whether the result is even high

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Other ingredients listed on the label are vegetable cellulose for the capsule shell, microcrystalline cellulose, stearic acid, and silica
