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The cartilage connecting the ribs to the sternum allows for movement during breathing

Use of the solid oral pharmaceutical composition according to any one of items 1 to 56 for the manufacture of a medicament for the treatment or prevention of diabetes, obesity, nonalcoholic fatty liver disease, non-alcoholic steatohepatitis (NASH) or a cardiovascular disease

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This indicates that the E/M service was a significant and separately identifiable element of the encounter, distinct from the work involved in administering the vaccine