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And certainly the internal is what's driving the external

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While we do note that a specific dental treatment service was not part of this study design, we still find the increased risk of peritonitis in the poor oral health population, which likely would affect the ability to perform and the clinical success of peritoneal dialysis, compelling evidence in support of the assertion that dental services are inextricably linked to, and substantially related, and integral to the clinical success of dialysis services in the treatment of ESRD

It's used to treat or prevent iron-deficiency anemia