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These five substances are tested: Marijuana (THC) and its metabolites, including THC-COOH Cocaine and its primary metabolite benzoylecgonine Opiates including heroin, morphine, and codeine Amphetamines including methamphetamine and MDMA Phencyclidine (PCP) Notice what is absent

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Clinical variables Symptoms such as paresthesia, asthenia, loss or reduction of appetite, sadness or change in state of mind (anamnesis), Hunters glositis, positional and vibrational sensitivity (all via physical examination), and cognitive decline (Lobo test)

As some deficiencies (particularly vitamin B 12 ) may take years to present clinical symptoms, the long-term management of vitamin B deficiency is crucial