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Coverage is also required if deemed medically necessary for children under Medicaids Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit

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This results in a high out-of-pocket cost burden for many patients, where costs can lead to treatment discontinuation rates of nearly 40% in underinsured groups

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A However, other In addition, a The authors of the systematic review recommend against the use of self-administered coffee enemas as a complementary and alternative therapy that people can use for self-care

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