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Studies on populations with acute myocardial infarction (AMI) also support these findings, with patients with AMI exhibiting significantly higher serum copper levels than those without AMI [52]

Feb 2000;39(1):38-46

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For instance, if the patient recently moved from a country with poor public drinking water conditions or relies on a well for water, they might have been consuming water high in manganese Moreover, patients at risk can be flagged by querying about drug use or previous hospitalizations for chronic intravenous therapy, which potentially exposed them to high levels of manganese Also, it is crucial to take into account the patients past medical history specifically any known or presumed liver issues This as these conditions increase the risk of developing manganese toxicity