Salary Reduction Simplified Employee Pension (SARSEP plans) A SARSEP is a SEP set up before 1997. Before 1997 an employee could choose (elect) to have an employer contribute part of his/her pay to a SEP-IRA. This contribution is called an elective deferral.
Symptoms depends on the pre existing cardiorespiratory status, the extent of paralysis, unilateral or bilateral and on the nature of the paralysis, acute or chronic. Some symptoms are distinct and should always raise the diagnosis of diaphragmatic paralysis.
Patients should be slowly titrated off GCs to help reduce the negative effects of adrenal suppression.2. Signs of adrenal syndrome include weakness/fatigue, malaise, nausea, vomiting, diarrhea, abdominal pain, headache (usually in the morning), fever, anorexia/weight loss, myalgia, arthralgia, and psychiatric symptoms.