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Surgery is generally reserved for cases with progressive neurological deficits, cauda equina syndrome (a surgical emergency), or persistent symptoms despite 6 to 12 months of conservative treatment
A stepwise approach prioritizing safety and tolerability is recommended
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Spironolactone and Weight Loss: The Truth Behind the Scale Change Its a question we hear all the time, both from patients and in countless online forums
If it lists total content (e.g., "30 mg total"), divide by the total volume to calculate concentration
Contact your GP if fatigue is severe, persistent, or worsening despite self-management strategies, or if accompanied by concerning symptoms such as chest pain, significant breathlessness, signs of dehydration, severe gastrointestinal symptoms preventing adequate nutrition, unexplained weight loss, mood changes, or symptoms of hypoglycaemia in people with diabetes
1 which additionally makes use of a step scale and noise scale
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