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Surgical closure may be needed in patients with a large secundum ASD that is not amenable to trans-catheter closure or other types of ASD as they are unlikely to close spontaneously

In that case, you may be footing the bill out-of-pocket

doi: 10.1001/archinte.152.8.1611 147 CameronBFlamandLJuwanaHMiddeldorpJNaingZRawlinsonWet al

So there absolutely is this variation in how people are responding

Photo illustration by Alexander Castro/Rhode Island Current) Are GLP-1 drugs prescribed for weight loss becoming too outsized a line item for continued coverage through the state Medicaid program