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This is why patients with neurological involvement are often maintained on a more frequent schedule (every 2 months rather than every 3 months)

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Severe metabolic and endocrine disturbances such as hypocalcemia, hypomagnesemia, hypoglycemia, hypothyroidism, and uroparesis, can also occur in a small number of patients [24, 26]

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Similarly, section 1833(t)(8)(F) of the Act requires under the OPPS that in the case of a Part B rebatable drug (except for a drug that has no copayment applied under subparagraph (E) of such section or for which payment is packaged into the payment for a covered OPD service or group of services), in lieu of the calculation of the copayment amount that would otherwise apply under the OPPS, the provisions of section 1847A(i)(5) of the Act shall, as determined appropriate by the Secretary, apply in the same manner as the provisions of section 1847A(i)(5) of the Act apply under that section

So, he took a lot of interest in weightlifting