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doi: 10.1086/318706 12 FerlitaS.YegiazaryanA.NooriN.LalG.NguyenT.ToK.et al

Among euthyroid individualsthose with biochemically normal thyroid functionthe KD is generally well tolerated, but subtle hormonal shifts may occur, particularly in those with underlying vulnerabilities or borderline thyroid reserve

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Documentation should clearly state: The site of injection The substance injected The indication or diagnosis Whether ultrasound guidance was used (reported separately if performed) When to Use CPT 20550 This code should be used only when the injection is into the tendon sheath or ligament, not the tendons origin or insertion