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If hemoglobin levels do not respond after therapy with ESA, investigation for bleeding or other causes of anemia should be considered, since higher doses of ESA are associated with inflammation and higher risk of major adverse cardiovascular event

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The NYT finds it suspicious that she was present at Petrosians practice sessions, looking like her coach. However, this situation is standard practice in the world of elite figure skating, where top-tier coaches are few and often work with athletes from different countries