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(1993) Risk factors for nursing homeplacement in advanced Parkinson’s disease. When the elderlypatient has no seizures with the medication, the serumlevel taken will be the approximate “therapeutic” level.”This may be lower or within the laboratory normal range.In some instances, it may even be slightly higher than thenormal range. However, the above three examples challenge this idea. (2010) Cognitive functionand risk for depression in old age: a meta-analysis of publishedliterature.