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The tight budget argument, when used, is often a blanket statement referring to the overall pressure on NHS resources, not the specific cost of a single appointment

Reaching for additions usually signals that the actual goal has drifted to something KLOW does not target (fat loss, GH-axis effects, cognition), in which case the right move is a purpose-built protocol for that goal, not a heavier KLOW

The committee still votes, and any rule would come after that

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Ca-dependent nitric oxide release in the injured endothelium of excised rat aorta: a promising mechanism applying in vascular prosthetic devices in aging patients