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A remote consultation can help with chronic PHN and treatment planning, but emergency symptoms need direct examination, appropriate testing, and sometimes urgent antiviral or specialist treatment

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A provider should review these factors before use

Growth hormone therapy can induce insulin resistance, elevate fasting glucose, worsen glycemic control in diabetics or pre-diabetics, increase risk of developing type 2 diabetes with long-term use, and require medication adjustments for individuals with existing diabetes

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The previous guideline advised doctors that patients with Pernicious Anaemia can safely have their injections stopped for a year as they will have sufficient stores of B12 in their liver