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They're related but not identical, and their regulatory status differs significantly

2016;106:1552-e15712

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Just as a heart muscle screams in pain during a heart attack due to a lack of oxygen, the peripheral nerves scream in the form of neuropathic pain when they are starved of blood

The practical value is in repeat testing over time: Trends visible before thresholds are crossed More forward-looking consultations Remote monitoring of stable patients without routine phlebotomy This doesn't replace traditional diagnostics