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Pregnancy, severe kidney disease, personal or family history of medullary thyroid cancer, and multiple endocrine neoplasia type 2 are contraindications requiring provider evaluation

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If a clinician pooh-poohs a request for a vitamin B12 check because an older person had a recent normal blood count, you can share this research article with the clinician

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[DOI] [PubMed] [Google Scholar] 111.Kasraee B, Handjani F, Parhizgar A, et al

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In severe acute pancreatitis (SAP), inflammatory factors promote the expression of matrix metalloproteinases (MMPs) and heparinases, which degrade syndecan-1 (SDC-1) and HS, while oxidative stress disrupts HA-CD44 binding, leading to increased capillary leakage and neutrophil adhesion

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