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SAM Clinic is led by Dr Sarah Spencer, a GP since 2010, who provides both aesthetic treatments and private menopause care personally rather than delegating to non-medical staff

Negative impact on overall health: Smoking is known to have detrimental effects on overall health, including an increased risk of cardiovascular diseases, respiratory issues, and certain types of cancers

doi: 10.1371/journal.pone.0060443

In determining whether a service is subject to the provisions of section 1834(m) of the Act, we therefore review during this Step 2 whether one or more of the elements of the service, as described by the particular HCPCS code at issue, ordinarily involve direct, face-to-face interaction between the patient and practitioner such that the use of an interactive telecommunications system to deliver the service would be a substitute for an in-person visit