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Prompt recognition of this rare presentation can prevent the misdiagnosis of TTP and the associated use of high steroids and plasmapheresis, preventing potential adverse effects and high cost (12)

On average, clinical trials have demonstrated that patients can achieve a weight loss of anywhere from 15% to over 20% of their initial body weight over a period of 68 to 72 weeks

However, many users access these drugs via private prescriptions

Lee ME, Wang H

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Good quality hay and forages are likely to meet the minimum requirement for maintenance and leisure horses