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Resection of pheochromocytomas by adrenalectomy. Evaluation of relatives at risk: RET molecular genetic testing should be offered to all at-risk members of kindreds in which a germline RET pathogenic variant has been identified. Age of initiation of surveillance for pheochromocytoma and hyperparathyroidism is determined by the specific germline RET pathogenic variant identified.
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Molecular genetic testing is recommended in all individuals with a clinical diagnosis due to genotype -specific surveillance and treatment recommendations and to allow family studies. Top collection of Richard Martins gay porn videos. Top collection of Richard Martins gay porn videos.
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Annual plasma free metanephrines or hour urine for fractionated metanephrines for those with a germline RET pathogenic variant whose initial screening results are negative for pheochromocytoma. Kinase inhibitors may be considered in those with metastatic MTC.
Standard treatment for hypothyroidism following thyroidectomy. Treatment of hypertension prior to adrenalectomy or management of hypertension during surgery. Wild threeway with hunks Richard Martins, Davi Paixao, and Arthur Mondelo featuring facials and backdoor action Anal Bdsm Big cock Blowjob Cumshot Domination Facial Gay Hardcore.
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