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Red flag symptoms requiring immediate evaluation include unintentional weight loss over 10 pounds, persistent vomiting, black or bloody stools, or difficulty swallowingthese may indicate ulcers, inflammatory bowel disease, or malignancy

It usually results in higher yields than plain-vanilla U.S

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Urol J 16:495500 Yaman O, Soygur T, Zumrutbas AE, Resorlu B (2006) Results of microsurgical subinguinal varicocelectomy in children and adolescents