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Elevated HPHPA, a Clostridia metabolite measured on OAT, has been associated with altered dopamine-to-norepinephrine conversion and may be relevant in neurocognitive symptom presentations (Shaw, 2010)

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When patients are worried about their diagnosis or apprehensive about the procedure because of difficult veins, her quick, almost pain free needle stick and kind but professional bed side manner would put them at ease

Malabsorption (insufficient absorption of vitamin B12 in the intestine) due to insufficient production of intrinsic factor (a protein produced in the lining of the stomach that is needed to absorb vitamin B12), disorders in the end section of the ileum (part of the small intestine), such as sprue, fish tapeworm infestation or blind loop syndrome (change in the course of the intestine after gastric surgery)