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Patients restarting tirzepatide after a one-month break should understand that response patterns may differ from their initial treatment course, though the medication's fundamental mechanisms remain unchanged

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Transcatheter attenuation of perimembranous VSD with membranous ventricular septal aneurysm is clinically feasible using the canine duct occluder, and multimodal cardiac imaging allows accurate assessment and planning prior to transcatheter intervention for structural heart disease in dogs