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In all honesty there are no correct answers and only incorrect answers. Possibly a pentad combination could work, you could adjust or go for removal of lenalidomide, change to a two factor drug, initiate differing cycles of dexamethasome could be beneficial due to refusal of ASCT by patient. This is how medicine works, there's no one size fits all and all we can do is attempt to help.
This was a case I worked on with people from MD Anderson, John Hopkins School of medicine, Mt Sinai, New York and unfortunately the patient refused all forms of treatment and expired.
serious about invading Guyana 
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The drunk r-slurs in the Alberta government are upset the public isn't buying their Alberta Pension Plan bs, plus them shoving Bill 20 onto Albertans.
Bill 20 creates political parties at the municipal level in Alberta, 70% of Albertans don't want that. And it also allows for the Cabinet to fire democratically elected city councillors behind closed doors, and then there's the r-slurred ban on electronic tabulators.
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- ponyblaze : screenshot posting
- AutisticOnTheStreets : why did you use that emoji for the title?
test
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