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What is even more disturbing is that the CEG does not acknowledge the dirty little secret about GP vets: many of them cannot determine whether a dog's heart is enlarged or not, simply by looking at one set of x-rays -- the so-called "one-off" assessment .* As a result, they often tend to find enlargement when there really is none at all

10.1080/15548627.2017.1357792 Autophagy 284 ZarchA

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Additionally, delta-class Am GSTD was included for broader comparison

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Ongoing litigation Novo Nordisk and Eli Lilly are both actively pursuing legal action against compounding pharmacies