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Aetna considers the following treatments medically necessary: Allergy to a particular drug that can not be treated effectively with alternative medications; or Insect sting e. Allergens should be individually prepared for the individual and the allergen content should be based on appropriate skin testing or appropriate in vitro testing. Rapid desensitization is considered experimental and investigational for other indications because its effectivenes for indications other than the ones listed above has not been established. Epinephrine kits are considered experimental and investigational for other indications because their effectivenes for indications other than the ones listed above has not been established. This exclusion would apply to sublingual immunotherapy.
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Although these journals are not "members" of the ICMJE itself, nor does their inclusion indicate "certification" by the ICMJE, maintenance of such a list may help to promote improvements in the quality of medical science and its reporting by indicating the standards many editors indicate they work to uphold. There may be some listed journals that do not follow all of the many recommendations and policies in the document. Editors whose journals have requested inclusion on this list by indicating that they follow the ICMJE Recommendations must be mindful of their responsibility to do so. Although we believe that most editors take this responsibility seriously and strive to achieve high standards, a growing number of entities advertise themselves as scholarly, peer-review medical journals yet do not function as such "predatory" or "pseudo-journals". Such journals may request listing here merely to gain the appearance of legitimacy. Authors and others with questions about the processes or policies of a specific journal should consult that journal directly. They should sign-up to receive notification of changes to the Recommendations http:
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Journals stating that they follow the ICMJE Recommendations

If you think you may suffer from an allergic or other disease that requires attention, you should discuss it with your family doctor. The content of the information articles and all illustrations on this website remains the intellectual property of Dr Raymond Mullins and cannot be reproduced without written permission. Summary Coconut allergy is a relatively rare cause of food allergy. By contrast, contact allergic dermatitis to coconut products are more common.
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Policy Percutaneous Ethanol Injection Aetna considers percutaneous ethanol injection PEI medically necessary for the treatment of hepatocellular cancers HCC without extra-hepatic spread. Aetna considers PEI for liver neoplasms experimental and investigational when criteria are not met. There is inadequate information to document the effectiveness of PEI as an alternative to surgical resection for the treatment of hepatic metastases.
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