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In response to Robin Marks:
Does anyone use an alternative to concentrated HCl
in the bottle for 24 hour urine calcium collection ?

Since the late 70's, we have used sulfamic acid (7 grams) in small, heat-sealed envelopes  made of a water-soluble polymer. We prepare these ourselves.  For reference re: use of sulfamic acid: Peterson JI, Young, DS, Clin. Chem. 1971; 17:954-5.  Many of patients in the rural areas we serve take a urine jug home and return 6 weeks later; hence some precaution is required during transport and storage.  We also had a prominent urologist have an accident with 6N HCl during a personal collection -additional motivation for finding innovative approaches.

Envelopes from:
		Quicksol A (QSA) bags, 1.5 mil, 2-1/4 x 4 inches
		$30 /1000
		Polymer Films, Inc
		301 Heffernan Drive
		West Haven CT 06516

For combinations of uric acid, oxalate, citrate, and calcium, we have also used a combination powder: EDTA (di-K salt, 9 g) + thymol (1 g) to keep oxalates and Ca soluble while not precipitating urates.  This requires measuring urinary Ca (or Mg) by atomic absorption. Also, since Mg is a cofactor for the citrate assay, we dilute urines with MgCl2 in the assay to ocvercome the effect of the EDTA.  For use of EDTA, see:
Chambers AH et.al., Clin Chem 1985; 31: 1703-5 
Urivetzky, M et.al., J. Urology 1992; 147: 1215-8.

Ron Haas, PhD
Clinical Chemist
Marshfield Clinic/St. Jos. Hosp.
Marshfield, WI
715-387-7207
fax: 715-387-7121
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