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Gisch, D

If documented only as low hemoglobin without interpretation, follow up with the provider before assigning D64.9

Over time, this chemical irritation may alter how local nerves process pain, increasing sensitivity so that ordinary pressure triggers significant discomfort

Deamidation of asparagine residues (present in TB-500s Asn in full-length T4, but the fragment contains no asparagine at positions 17-23) accelerates at alkaline pH but is minimized at pH 4-6

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