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Insulin resistance, dysglycemia, high body mass index (BMI), and hypertension were shown to significantly increase the incidence of thyroid cancer

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A minus 2.5% work RVU efficiency adjustment also applies to established codes like 96372, which slightly reduces the work RVU component used in the payment calculation
We saw that many of our patients with PT had a diverticulum or were missing bone over the sigmoid sinus, which is just downstream from the transverse sinuses. Because CT scans have shown that this sigmoid sinus dehiscence can cause PT, we started doing operations to reconstruct the sigmoid sinus or reduce the diverticulum

Adaptations needed include keeping fats moderate (30 to 35% of calories) rather than high (60%+ typical in keto), choosing lean proteins rather than fatty cuts, getting fat from sources like avocado and nuts rather than butter and cream, and focusing on non-starchy vegetables for volume
