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With Convention Automatic Presumptive Linkage Coding Clinic has clarified that the with convention in ICD-10-CM Guideline I.A.15 establishes a presumptive causal relationship based on the Alphabetic Index structure alone no explicit documentation of causation is required from the provider

It is also not known whether hydroxocobalamin can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity

Skinner, and D

Receptor activity: With less interference, IGF-1 DES binds more efficiently to IGF-1 receptors on muscle and connective tissue cells

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Oxford Academic Endotext Performance Enhancing Hormone Doping in Sport (Kontext zu GH/IGF und sportlicher Leistungsmodifikation)