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The persistent use of the term pernicious anaemia in both clinical practice (primary, secondary and tertiary care) and state-of-the-art research highlights a disconnect between these guidelines and current clinical practice

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Laboratory evaluation typically shows elevated TSH, low free thyroxine (fT4), and increased TPOAb titers, while thyroid ultrasound reveals diffuse hypoechogenicity and heterogeneous parenchymal texture

Under section 1834(m)(2)(A) of the Act, Medicare pays the same amount for a telehealth service as if the service is furnished in person (88 FR 78862)

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