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A few commenters expressed that this creates volatility, as a hospital's placement could shift between quartiles based on small changes in peer performance rather than meaningful changes in its own outcomes

The referral destination depends on the accompanying findings: liver findings may point to hepatology or gastroenterology, significant kidney disease to nephrology, abnormal counts or smear findings to hematology, and cancer concern to oncology

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User Quotes by Side Effect Feeling extremely tired or fatigued (Starts within first few days, can persist for weeks or be ongoing) "It made me extremely tired and I'd fall asleep within 2 hours of taking it

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Its important to check B12 levels before starting chemotherapy