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I do the echo for a couple of reasons, but in my hypermobile patients I want to make sure they don't have aortic root enlargement, I want to make sure they don't have mitral valve prolapse, and I also look for patent foramen ovale, which is important in this population because it can result in a lot of symptoms

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Diabetologia1979 Feb;16(2):75-85

If you experience plateaus or dips, we coach you through them