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If you think back to bariatric surgery a psychological screening would have happened before moving forward with that process

1 2 3 4 Wessells H (2007)

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Sample type considerations Different biological matrices have different detection characteristics: Urine: Most common testing matrix, metabolites accumulate Blood/plasma: Shorter detection windows for most peptides Dried blood spots: Emerging method with good sensitivity Hair: Not commonly used for peptides but theoretically possible Most anti-doping testing uses urine

(C) pyogenic granuloma secondary to onychocryptosis in an adolescent