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Long-term LAMS placement after EUS-DJA may be feasible and safe for direct access to the excluded limb. Long-term LAMS placement after EUS-DJA may be feasible and safe for direct access to the excluded limb.Adrenal insufficiency (AI) requires life-long treatment with glucocorticoid replacement therapy. Over- or under-substitution carries the risk of increased morbidity in the form of side effects or adrenal crises. Glucocorticoid replacement therapy needs to be flexible with dose adaptation in special situations. This could not be mana
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