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It is perfectly acceptable to perform an MRI without contrast if indicated

Some insurance providers choose to only cover certain indications, like cardiovascular risk reduction

Glanbia Nutritionals 17.10

Acharya Charaka mentions causes such as Virudha Ahara Sevan (improper diet) and Papkarma (bad deeds), which vitiate Kapha Dosha, affecting the meda dhatu (fat tissue) and causing white patches