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The talk clearly left an impression, because immediately afterward, while they were sharing a meal, Jastreboff remembers Winfrey turning to her and saying, "You should write a book, and I will help you." "In that moment I thought, 'Well, this is going to help millions of people,'" Jastreboff said

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Although titers may decline with treatment, in particular following thymectomy, it is generally held that this test cannot reliably determine disease severity, response to treatment, or to predict either remission or relapse
