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Some help will be appreciated for the following, please:
ACROSS:
4 Before starting treatment mention new remedy(8)
?????A??
19 Where the Ark went fast(6): ???R??
21 Indisposed to be criticized? ( 3,4 ): R??????
DOWN:
5 Formally dressed Italians lacking a change (2,5 )
??T????
6 Organ movement ( 10 )
18 Around noon, top fighter pilots attempt descent( 8 ): ???M?T?Y
Many thanks in advance!

19 biblical reference!

21 I thought you had too many letters after the R, then I read your Email more carefully (that's a clue!)

5 anagram - white tie?

Yes, I see it...the Mount A...
Thanks very much!

Many missing here, but 18 d is "ancestry"