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Palpation: Tenderness over the medial epicondyle

Before we can talk about timelines, we need to be on the same page about what we're dealing with

We order vitamin B12 and folate testing when a person with Down syndrome we are evaluating has symptoms described above, has a lab abnormality for which follow up testing of vitamin B12 and/or folate is indicated, or the person has a condition in which deficiency is common (e.g., celiac disease)

Swap For Whole Grain Pasta If you are struggling to increase your fiber intake, swapping regular pasta for whole wheat pasta is one of the easiest changes you can make

Avoid scratching the site, as it increases infection risk

Step one: lifestyle and metformin For most patients with newly diagnosed Type 2 diabetes, the first-line treatment is lifestyle modification (diet, exercise, weight management) combined with metformin, an oral medication that reduces liver glucose production and improves insulin sensitivity