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PSC is associated with a predisposition to malignancies, including cholangiocarcinoma (CCA), gall bladder cancer, hepatocellular carcinoma (HCC), and colorectal cancer (CRC)

PMID: 127 LiYZhangS-XYinX-FZhangM-XQiaoJXinX-Het al

Per the applicant, the LithoVue TM Elite Ureteroscope, the component nominated in this application, is (1) not considered equipment, an instrument, apparatus, implement, or item of this type for which depreciation and financing expenses are recovered as depreciable assets, and (2) not a material or supply furnished incident to a service, and therefore, is eligible to be considered for pass-through payment

(III) liver, heart, or renal disease

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So, thats just one example of how just the lack of rigor and the lack of communication between the published research and the current standard of care and statistics is not serving us and likely hugely underestimates the already dramatically high rates of nutrient insufficiency