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Perry G, Castellani RJ, Smith MA, Harris PL, Kubat Z, Ghanbari K, Jones PK, Cordone G, Tabaton M, Wolozin B, Ghanbari

If you do consider this approach, start with minimal doses of each and assess your response before increasing

Usually mild and improves over the first few weeks

Spot the usual PA suspects As a rule of thumb, if a service is pricey, ongoing, or ordered by a specialist, plan on requesting a PA: High-cost imaging: MRI, CT, PET Elective surgeries: tonsillectomy, joint replacement, bariatric procedures Therapy past routine limits: mental-health counseling, speech, PT, OT Durable medical equipment (DME): power wheelchairs, hospital beds Ongoing home-health or skilled-nursing visits Quick example: Your patient with chronic knee pain clearly needs an MRI

10.1016/j.jep.2023.117316 J

Desai RJ et al, 2012