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Bringing a foundation of careful patient care from her NICU background, Michelle is currently pursuing her Masters degree in Nursing

Experimental studies suggest possible effects involving: Nitric oxide signaling Blood vessel formation (angiogenesis) Cellular communication pathways Fibroblast migration Collagen organization Tissue remodeling after injury Fibroblasts are specialized cells responsible for producing collagen and rebuilding damaged connective tissue

Front Neuroendocrinol 15:321350

Pernicious Anaemia Challenges Recently a clinician colleague (also a PA patient) mentioned that they had received the dreaded we need to retest you letter

We treat it like medicine, which means saying no when the patient isnt ready, monitoring closely when they are, and adjusting protocols based on what bloodwork shows rather than what the patient wants to hear