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Most insurers require documentation of BMI, failed dietary interventions, and sometimes comorbidities before approving coverage
Starting low and adjusting based on results and tolerance is the recommended approach
Yet even here the wind remains double-edged: it expresses the prisons emptiness (it seethes in the empty spaces ) and also refuses stillness, refusing the kind of dead air that would make despair feel final
This problem has now been overcome by using purified intrinsic factor which does not react with vitamin B12 analogs as the binder in the immune-enzymatic assays (Klee, 2000)
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