However, our experience has indicated that the use of DMSA suppositories has all but eliminated this issue
Some states in the US, including Florida, now provide this coverage

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Subsequent studies in the journals PNAS and JAMA Network Open the latter of which was conducted using data from the Framingham Heart Study at BU found links between higher body mass index and increased mortality risk, including the cumulative effects of weight status over multiple decades
Metabolic/bariatric surgery, despite its marked efficacy, remains a last-line option due to its invasiveness and potential for complications (Table 1)