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levels will often be artificially lowered. In general, if test results do not correlate with clinical findings or expected results, the veterinarian should view the results with suspicion and consider repeating them for confirmation. Patient preparation The preparation of the patient is important for certain tests. For example, a fasting state is needed for optimal glucose and triglyceride measurements. Controlled conditions are frequently needed for endocrinology testing. Careful attention must be paid to patient identification and specimen labeling. Knowing when the specimen was collected may be important. For instance, phenobarbital levels cannot be interpreted appropriately without knowing whether the specimen was drawn just before ("trough" level) or after ("peak level") drug administration. Drug levels cannot be interpreted if they are drawn during the drug's distribution phase (e.g
Steptoe A., Hamer M., Chida Y. 2007 The effects of acute psychological stress on circulating inflammatory factors in humans: A review and meta-analysis.Brain, Behavior, and Immunity 21: 901912 Wirtz P.H., von Kälen R., Mohiyeddini C., Emini L., Ruedisueli K., Groessbauer S. & Ehlert U. (2006) Low Social Support and Poor Emotional Regulation Are Associated with Increased Stress Hormone Reactivity to Mental Stress in Systemic Hypertension. The Journal of Clinical Endocrinology & Metabolism 91(10): 38573865 Wolf T. Oliver 2007. The influence of stress hormones on emotional memory: Relevance for psychopathology. Acta Psychologica Wegner D. M., Erber R., & Zanakos S. (1993) Ironic processes in the mental control of mood and mood-related thought. Journal of Personality and Social Psychology, 65: 10931104.
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