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The merchant view can also reveal a bare appearing trochlear groove, or Empty Merchant Sign, which has a higher reported specificity and positive predictive value than lateral radiographs (Figure 3)

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Examples of bihormonal insulin + glucagon + cells are indicated by white arrows

It names pre-existing gastrointestinal disorders, pancreatic history, thyroid disease, kidney function and medication interactions

van Aken GA, Vingerhoeds MH, de Wijk RA (2011) Textural perception of liquid emulsions: role of oil content, oil viscosity and emulsion viscosity

This discussion should consider the individual's risk factors, overall health and alternative therapeutic options