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Schilling test : ウィキペディア英語版 | Schilling test
The Schilling test is a medical investigation used for patients with (cobalamin) deficiency. The purpose of the test is to determine whether the patient has pernicious anemia. It is named for Robert F. Schilling. ==Process== The Schilling test has multiple stages.〔(【引用サイトリンク】title=MedlinePlus Medical Encyclopedia: Schilling test )〕 As noted below, it can be done at any time after vitamin B supplementation and body store replacement, and some clinicians recommend that in severe deficiency cases, at least several weeks of vitamin repletion be done before the test (more than one B shot, and also oral folic acid), in order to ensure that impaired absorption of B (with or without intrinsic factor) is not occurring due to damage to the intestinal mucosa from the conditions of malabsorption arising from B and folate deficiency themselves.
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