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Anti-doping testing uses expensive, sophisticated mass spectrometry that can identify specific peptides by their molecular fingerprint

The definitive diagnosis is currently made in patients that meet the Rome criteria (Table 2)1 and in whom other causes of emesis have been ruled out through a detailed clinical history and the previously mentioned tests

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Warning signs to watch for include: Severe allergic reactions Swelling of the face, lips, or throat, hives, or difficulty breathing may signal anaphylaxis, a medical emergency