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Bias, potential for analytical sloppiness, lack of understanding of basic issues, failure to consider major covariates, and overstating the strengths and precision of the results.

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These side effects may go away during treatment as your body adjusts to the medicine.

The fourth randomised controlled trial involving 35 participants reported a benefit from plasma exchange before thymectomy but this trial was heavily biased.

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The clinical significance of anti-MuSK antibodies is still under study, but patients with these antibodies are much less likely to have thymic hyperplasia or a thymoma, may be less responsive to anticholinesterase drugs, and may require more aggressive early immunotherapy than patients who have AChR antibodies.

It can produce a temporary improvement in symptoms, but is too expensive for long-term treatment.

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