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When used responsibly and under medical supervision, they can be a powerful tool in promoting healing and enhancing physical capabilities

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Traditionally, pituitary surgery, usually by the transsphenoidal approach, is discussed in detail in the Endotext chapter entitled Surgical Treatment of Pituitary Adenomas (51)) and is generally reserved for prolactinomas resistant to DA drugs

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[#1] diagnostic clue: refractory hypoxemia Methemoglobinemia typically causes the pulse oximeter to report a saturation of ~82-86% (even if the PaO2 is very high)