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Classically it is examined by havingthe patient do finger-to-nose testing or having the patientrun the heel of the foot up and down the opposite shin.More functional assessment can also be done, such ashaving the patient drink from a cup or use the hand towrite.

If adverse reactions occur, subsequent infu-sions can be stopped and the antibody can be clearedfrom the patient in accordance with its biologic half-life.With active immunization, not everyone will necessarilyproduce an optimal antibody response or even an ade-quate antibody response, and the response is polyclonal.Hence, the quantity and quality of the antibody responsediffer from patient to patient. For example, type I fibrils are associated with type XIIand type XIV collagens. These phenomena are most evidentin lower-molecular-weight aldehydes and those with unsat-urated aliphatic chains

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What investigations do you suggest in hypothyroidism?A. The basic assumption has beenthat improvement in cerebral circulation is pos-sible, real and therapeutically useful. Journal of Speech and Hearing Disorders, 48, 223–224.Kass, N

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