Thickening or important redundancy of the valve leaflets is associated with a better embolic danger and needs particular consideration. The nails provide a historic document for as much as 2 years (relying on the speed of linear nail growth) of profound momentary abnormalities of the management of skin pigment which in any other case would possibly move unnoticed. Because most bulimia nervosa patients who've been studied are of regular weight, nutritional restoration will not be a central focus of therapy
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