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BOMSS guidance further specifies monitoring responsibilities: specialist multidisciplinary team (MDT) follow-up is recommended for at least two years after surgery, with lifelong monitoring thereafter, typically in primary care

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This allows assessment of tolerance before increasing to standard therapeutic doses of 1-2mg daily

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If the electoral development programs are to remain a prominent development strategy, we need a stringent and effective performance management system to ensure effective and efficient delivery of projects from this money

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