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Potential concerns include unknown long-term safety, product quality variability, and theoretical risks related to angiogenesis and tumor growth

(The T4 medication Tirosint may be an exception to this please see my Tirosint article for more information.) However, hot lemon water is an exception

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No modifier, including modifier 59, the X-modifiers (XE, XS, XP, XU), or any other unbundling modifier, can separate CPT 20610 from an open or arthroscopic procedure performed on the same joint in the same encounter

For gut issues, oral capsules work well at 500-1,000mcg daily on an empty stomach