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Theuretzbacher U, Outterson K, Engel A, Karln A

When symptoms do appear, they are often vague and easily overlooked: Because obvious symptoms are often absent, the condition is frequently discovered accidentally during blood tests (showing elevated liver enzymes) or imaging scans (such as ultrasounds or CT scans) performed for other reasons

That's because when both spouses are covered by the same family HDHP (i.e., health insurance that covers both the enrollee and their spouse and/or dependents), one of the spouses can enroll in Medicare and/or file for Social Security benefits without affecting the other spouse's eligibility to contribute to an HSA

Long-term genotoxicity and carcinogenicity are not established in humans

& Donath, M