Produced by action of Candida hyaluronidase on the intercellular cement hyaluronic acid. Oxidation of the hyaluronic acid breakdown products produces tartaric acid and arabinose. Since grapes, grape juice, and dried grapes (raisins) contain tartaric acid, these foods must be avoided 24 hours prior to urine collection to avoid interference. Antifungal treatment and high-potency multi-strain probiotics may help rebalance GI flora.
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