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With BAL, we can flush fluid down, suck that fluid back out and actually count the red blood cells and assess the severity of the EIPH based on the color of the fluid were seeing. While EIPH is beginning to show itself as the consequence of a physiologic event within the horse, there are many unique indicators of the condition that veterinarians are just now with the help of advancing science being able to pinpoint, then clarify

Parent precursor masses of 124.0, 399.3, 385.1, and 665.1 Da and Q3 masses set to m/z 80.0, 250.1, 136.0, and 136.0 were used for the quantitation of NA, SAM, SAH, and NAD+, respectively

Lift your hand/wrist upwards to separate the needle from the skin

BMJ article on ethical approval from 2009 bmj.com/content/338/bmj.b450 The letter just says in line with guidelines