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Mostly this is not due to the low-paid doctors employed by the FAA in Oklahoma City wanting to torture pilots, but rather because the FAA is required by regulation to use only USPS and hardcopy letters for communicating with pilots

[1] Patients with pre-existing diabetic retinopathy should be monitored closely, as rapid improvements in blood glucose can temporarily worsen retinopathy

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Overlap of endocrine hormone expression in the mouse intestine revealed by transcriptional profiling and flow cytometry