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Any changes to coverage should be clearly communicated to plan participants through an updated summary plan description (SPD) or a summary of material modifications (SMM)
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Bibcode:1998BBRC..249...53K
First, patients were asked whether and how symptoms of polyuria and polydipsia (e.g., constant thirst, daytime voiding frequency, nocturia) had affected their quality of life on a 10-point NRS (i.e., 0 = quality of life not reduced, 10 = quality of life maximally reduced)
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