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10.1016/j.cmet.2017.05.008 4

However, diagnosing Wilson disease as the cause of acute liver failure can be challenging because elevated serum and urine copper levels are not specific to Wilson disease and can be seen in patients with acute liver failure from any cause

C., Frese, E

Diabetes Surveillance System also shows elevated rates of diagnosed diabetes throughout both states, including many counties in Southeast Ohio and Southern West Virginia