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the additional estimated impact for the payment adjustment for drug administration furnished at excepted off campus PBDs (Column 5)

Diabetes : After the surgery, the remaining part of the pancreas may not produce enough insulin, leading to diabetes in about 15-20% patients Complications related to anaesthesia: There is a risk of complications related to anaesthesia, such as allergic reactions or breathing problems

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Cats with chronic kidney disease (CKD) benefit from foods that have controlled levels of protein, and are low in phosphorus and sodium