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The documentation must show a specific reasonsuch as an unexpected presumptive result (false positive/negative suspicion) or the need to detect a specific synthetic/semi-synthetic drug not covered by a standard presumptive panel

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Hydration and Fiber Because these medications can cause constipation, staying hydrated is essential

Bring it to your healthcare provider and specifically ask: "Which of these can cause weight gain, and are there weight-neutral alternatives?" The medications most likely to interfere were listed earlier: antipsychotics, certain antidepressants, corticosteroids, insulin, sulfonylureas, gabapentin, pregabalin, beta-blockers, lithium, and valproate