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i appreciate the opportunity to come back i think i was uh i presented grand rounds here back in 2009 and obviously i didnt torture you enough so ive been brought back again so ill try to do my best this time and the title of my talk today is dried blood spots as an alternate sample type for wellness testing im going to talk about various aspects of dried blood spot testing and it particularly its going to be addressed to the wellness testing market and really looking at you know whether or not wellness testing using dried blood spots is really something that is is appropriate at the current time so with dried blood spot testing or dbs this is what we like to see as far as the sample that we get later on well see some examples of what we usually get dried blood spot cards are go by a variety of other names most common being guthrie cards or filtered paper discs or even pku cards and theres a variety of applications obviously the most common i think everyone is familiar with is