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If there is severe encephalopathy, consider intermittent haemodialysis

However, it should be noted that national doping regulations may deviate from these international guidelines

SpectraCell Labs Micronutrient Testing Direct measurement of micronutrients in living cells Measures cellular function inT-lymphocytes Measures absorption and utilization of the nutrient Provides a 4 6 month window of nutritional balance Measures cell mediated immune function and provides Immunidex score Spectrox measures total antioxidant function MeasuresT-cell proliferation in response to challenge Measures biochemical individuality Other Nutritional Assays Assess metabolic pathways and assume deficiency of measures static non-functional levels No functional capabilities Testing performed using urine, serum, hair Do NOT measure absorption and functional performance of nutrients Do NOT provide broad assessment only snapshot of status Do NOT measure immune function Do NOT measure total antioxidant function Do NOT measure cell proliferation or response to challenge Do NOT assess biochemical individuality Features and Benefits Micronutrient Testing Uses active peripheral lymphocytes instead of serum Measures the end point of DNA synthesis Re ects nutrient status over the last 4-8 months Measures how micronutrients and antioxidants areactually functioning within the white blood cells Re ects total metabolic function rather than isolated biochemical pathways Demonstrates the intracellular function of micronutrients simultaneously Gives physicians the ability to tailor treatment plans to each patients speci c requirements rather than to norms Testing Lymphocytes Provides a more accurate measurement of long term functional nutritional levels Are host to cell-mediated immune system Possesses metabolic pathways common to other cells Contains nucleus which permits rapid DNA synthesis and cell growth Measures DNA synthesis and cell growth Are easily available in large numbers from a standard blood draw Indicates if nutrients are being absorbed and functioning properly Clinical Applications Knowing nutritional risk factors and treating their causes can contribute to the arrest or prevention of many degenerative conditions Patients derive signi nt bene ts from personalized treatment and repletion Allows for early intervention to correct ciencies and promote health Micronutrient testing provides important baseline tests to identify de ciencies Tests for B6, B12, Folate & Homocysteine Gives the physicians an overall informative cardiovascular program, not just a lab number Combines Micronutrient testing and HPLC methodology for Homocysteine Examines the cellular function of each individual to nd out what is needed to x the homocysteine problem and reduce risk, cardiovascular disease and stroke SPECTROX TM Antioxidant Testing Percentage gives a total antioxidant and immune functionmeasurement, not just one or two spec values Measures ability of cells to withstand attack from free radicals and other oxidative stresses (antioxidant reserve) IMMUNIDEX TM Immune Response Score Evaluates cell mediated immune system performance General measurement of how ones system will respond to exogenous and endogenous threats Easy Sample Collection No refrigeration or freezing Complete test kit and transportation provided No centrifugation Report Interpretation Easy to read reports for clinicians and the patient Numerical and graphic representation of each result Repletion suggestions provided

10.2214/ajr.180.3.1800847 54 KimY