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These surgical techniques for direct stone removal are reserved for cases, usually with larger stones, when other methods are not appropriate (Antonelli 2015)

Gastroenterology 159 (1), 8195

Cancer Res 57 : 52325237 Schneider, E, Horton, JK, Yang, CH, Nakagawa, M & Cowan, KH (1994) Multidrug resistance-associated protein gene overexpression and reduced drug sensitivity of topoisomerase II in a human breast carcinoma MCF7 cell line selected for etoposide resistance

The individual may be the one to administer the B12 injections at home

Sato, S