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VMA, or vanillylmandelic acid, is a metabolite of catecholamines, such as epinephrine and norepinephrine. A urine spot test showing a VMA level of 27 mg/24 hours may indicate elevated catecholamine production, which can be associated with conditions like neuroblastoma or pheochromocytoma. It's important to interpret this result in conjunction with clinical findings and possibly further testing, as various factors can influence VMA levels. Always consult a healthcare professional for accurate diagnosis and management.

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