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Energy levels of hydrogen are calculated as one-loop matrix elements of the QED energy-momentum tensor trace in the external field approximation. An explicit connection established between the one-loop trace diagrams and the standard Lamb shift one-loop diagrams. Our calculations provide an argument against inclusion of the anomalous trace contribution as a separate term in the decomposition of the QED quantum field Hamiltonian and serve as an illustration how the trace anomaly is realized in the bound state QED.

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