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Some patients with this mutation also experience seizures

PLAN: The patient will be on Protonix and will be observed carefully and given a technetium RBC scan if he has continued lower GI bleeding

Stroboscopy is very helpful in clarifying the diagnosis in most cases

Although these studies primarily focus on heart failure, the mechanisms of ARNIssuch as RAAS modulation, enhanced natriuretic peptide activity, anti-inflammatory effects, and improved vascular functionalign with the key pathophysiological pathways driving CMS

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