Your records should include medical justification, specific formulation modifications, and verification that commercial alternatives cannot meet documented patient needs
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doi: 10.1038/s41392-021-00653-w 306 ZhaoC.ZhaoW
The exact symptoms can differ based on which valve is affected, but they generally include: Abnormal heart murmur Irregular heartbeat Chest pain Shortness of breath, especially when lying down or after physical activity Fatigue Dizziness or fainting Abdominal swelling Swollen feet or ankles Preventing Cardiovascular Complications From Medication Patients with cardiovascular issues often take multiple medications, sometimes prescribed by several different clinicians, without considering the potential for drug interactions and filled by different pharmacists
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