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The most common is G6PD deficiency, which is an enzyme essential for glutathione metabolism

Anorectal function testing: to evaluate for defecatory disorders Balloon expulsion test Anorectal manometry Defecography (barium or MRI) Colon transit studies: to differentiate between normal transit constipation and slow transit constipation Approach This section details the management of patients with acute constipation (with no red flag features) and chronic primary constipation

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21 To make a larger change, states must submit a rate amendment for federal approval that addresses and accounts for all differences from the most recently certified rates