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**13C-urea + citric acid** is a combination diagnostic agent used in a non-invasive breath test for the detection of *Helicobacter pylori* infection. The test utilizes 13C-labeled urea, which is hydrolyzed by *H. pylori* urease in the stomach, releasing 13CO₂ that is measured in the patient's breath. Citric acid is included to acidify the gastric environment, enhancing urease activity and increasing test sensitivity and specificity, particularly in patients taking acid-suppressive therapy. The primary use is for the initial diagnosis and post-treatment monitoring of *H. pylori* infection.
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