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So if you have severe kidney disease, which might explain maybe the the lepto connection, although I think lepto also can cause just lysis of the red blood cell

Blood tests can look at many substances in your blood including: Your healthcare provider may order a blood test to check for the genetic mutation that causes Wilson disease if other medical tests dont confirm or rule out a diagnosis of the condition

RNA analysis Tissue samples were crushed on dry ice and homogenized using a bead Mill (VWR)

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This is extremely important