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Maybe it could be an adjunct

As discussed in more detail in a white paper in preparation (24), it enters cell membranes as a lipophilic anion where it acts as a proton shunt (11), dissipating pH gradients across a range of host cellular-organelle membranes, including mitochondria, endosomes and lysosomes, and even the Golgi

Reasons its rarely pass/fail: Many contaminants vary by time (rainfall, seasonal runoff) and use pattern (stagnant water overnight)

Disrupted appetite suppression patterns This one is counterintuitive

Chronic steroid use may also justify secondary diagnosis codes for osteoporosis (M81.0) , adrenal insufficiency (E27.49) , or hyperglycemia/steroid-induced diabetes query the provider for documentation support