it could be normal because you could have muscle contraction (even if minimal) which inhibits the reflex and it could be falsly negative or you could have a very weak reflex which exist in normal exam. Absence of DTR alone is not abnormal if the rest of your neurological exam is reassuring.
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It’s recommended by the American Academy of Ophthalmology that every adult between the ages of 18 and 80 does an eye examination at least once every two years.
It's recommended by the American Cancer Association that every adult between the age of 20 and 80 does an annual skin screening by a licensed dermatologist.
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