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Most established patients from these areas alternate between an in-person visit at Carrollwood for labs and dose changes and a Florida telehealth follow-up in between, once the medication and dose are stable and tolerated

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Larger stones, and stones that fail to pass or cause especially severe pain or obstruction and infection may require more aggressive therapies such as antibiotics, lithotripsy (therapy utilizing ultrasound shock waves to break stones into smaller fragments), or surgery to remove stones (Antonelli 2015)

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