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These were followed in 2024 by new Nordic guidelines, and the main novel points were that Rituximab at single doses not exceeding 500 mg could be used early in disease instead of steroids and azathioprine, that availability of new complement and FcRN inhibitors depended on local factors and should be reserved for difficult-to-treat patients, and the role of thymectomy was emphasized [75]

While limitations exist, nuclear gastric scintigraphy remains the gold standard in assessing gastric emptying, and the accuracy of newer testing modalities is validated against it
