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Some studies have concluded that there may be a series of metabolic alterations due, among other things, to the generation of certain substances derived from the inflammatory processes, a decrease in blood pH (therefore, alterations in oxygen transport and an increase in lactate and ketone bodies) and also to endocrine changes due to an increase in plasma amounts of hormones such as aldosterone, vasopressin and renin

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Use modifier -50 to indicate bilateral procedures

The best option depends on your symptoms, lab results, and overall health