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And while this may sound like a lot of prep before a blood test, its worth noting that improper test preparation can alter your blood test results and may even lead to an incorrect diagnosis or unnecessary treatment

Incorporation of phosphorylcholine into the lipooligosaccharide of nontypeable Haemophilus influenzae does not correlate with the level of biofilm formation in vitro

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Assuming the diagnosis has been confirmed, ideally through repeat thyroxine (T 4 ) measurement at an external laboratory, the author would recommend these cases are treated for their hyperthyroidism