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Additionally, a rebound hypercalcemia effect has been described after discontinuation of denosumab or teriparatide therapy

The problem is that "it's normal" and "it needs review" can feel identical from the inside

The decrease in 24-hour urine ammonium, a major urinary buffer, likely parallels the change in urine sulfate excretion and likely represents decreased exposure to the acid load imparted by animal proteins

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