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According to Grant Martsolf, a nursing services researcher at the University of Pittsburgh, the NP category was originally created because there were a lot of long-serving nurses who were more experienced and frankly more knowledgeable than younger MDs and DOs

doi: 10.1016/J.ULTSONCH.2025.107352, 94

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You might see the scale drop and assume success, but if significant portions of that loss come from muscle rather than fat, you're building a body that burns fewer calories at rest and feels weaker during daily activities

After her overdose, McClain said, she spoke to a clinical director at Mochi Health, once by phone but mostly via email, about her lingering symptoms before communication paused