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More serious but rare concerns include pancreatitis, gallbladder problems, and potential thyroid tumor risk (observed in rodent studies but not confirmed in humans)

For 90847 to be separately billable alongside individual therapy, the family therapy component must constitute a separately identifiable service with a distinct therapeutic focus, conducted during a separate time interval from the individual therapy, and documented independently with its own clinical note or note section showing separate time allocation

doi: 10.1016/j.ijbiomac.2018.12.266 169 LiYTChenBJWuWDGeKWeiXYKongLMet al

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