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Urine: Proteinuria (85% of cases) Hemoglobinuria (10% of cases) Depending on clinical context, other tests may be ordered to rule out mimics of HELLP including: ADAMTS13 levels (low in TTP) Complement tests (abnormal in HUS) Tests for autoimmunity, for example: Lupus anticoagulant ANA Differential diagnosis Thrombocytopenia with macroangiopathic hemolytic anemia during pregnancy: Acute fatty liver of pregnancy (AFLD): Typically occurs in the third trimester between the 30th and 38th gestational weeks
Afaghi 2012
These issues could stem from the peptide itself or from harmful substances mixed in during production
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