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Alright, let's get into the nitty-gritty of how doctors figure out if someone has HD. The diagnosis process usually involves a combination of methods, including a *physical and neurological* examination, a review of the patient's medical history, and, most importantly, *genetic testing*. First, a *physical exam* will check for signs of involuntary movements, problems with coordination, and other physical manifestations of the disease. A *neurological exam* will assess reflexes, balance, eye movements, and other neurological functions. The doctor will also ask about the patient's and their family's medical history, paying close attention to any instances of neurological disorders. But the gold standard for diagnosing HD is *genetic testing*. This involves taking a blood sample to look for the *huntingtin gene*, or *HTT gene* expansion. People with HD have an expanded version of this gene. When the test comes back positive, it's pretty definitive. The result indicates that the individual has the genetic mutation that causes HD.
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