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The fluid may also be tested in a lab to diagnose joint issues

In addition, adult diabetic cohort studies have shown a reduced PBMC GR/GR mRNA ratio and decreased phosphorylation of GR at S211, suggesting impaired immune cellglucocorticoid sensitivity (294)

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In any case, elevated urinary excretion or elevated serum levels of methylmalonic acid serve as specific laboratory biomarkers for functional B 12 deficiency (see Section 4.1)