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I dont personally prescribe and manage these medications, but there is a role in AE management, but not just that

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By supporting the health of liver cells (hepatocytes), milk thistle provides a stable environment for antioxidant production

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"The HCSC transaction closed later than the company's financial planning assumptions, increasing the first quarter Cigna Healthcare [MLR] as the Medicare businesses operate at a higher [MLR] compared to the rest of the portfolio," the company wrote in its filing