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In the United States, approximately $23 billion are spent on multivitamins yearly. At least half of all Americans take some kind of supplement, the majority of which are multivitamin/minerals.
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Most clinicians maintain a fairly glucose-centric view of diabetes. That is, we have made the assumption that the most visible derangement in diabetes, hyperglycemia, is the culprit producing vascular disease.
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Lack of sleep impairs the immune system and lowers resistance to viral illness. The quality of sleep is important. Those volunteers who spent less than 92% of their time in bed asleep were five-and-a-half times more likely to become ill than those who were asleep for at least 98% of their time in bed.
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In a multicenter, prospective, randomized study of Japanese Type 2 diabetic patients, low-dose aspirin as primary prevention did not reduce the risk of cardiovascular events.
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Erythromycin, 250 mg bid, reduced the number of exacerbations in patients with moderate COPD over a 1-year period.
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The ECG shown above was obtained from a patient with acute shortness of breath. The QRS complex was recognized to be wide, and the clinical question raised was whether the patient should be immediately shocked. How would you respond?
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The hope trial convinced many experts that midlife adults (age ≥ 55 years) with existing vasculopathy (history of CAD, CVD, diabetes and CV risk factors) will have improved outcomes on an ACE inhibitor (ramipril, to be specific).
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A second human papillomavirus (HPV) recombi-nant vaccine has been approved by the FDA.
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It has been known for decades that influenza viruses have a propensity to affect muscle. Muscle aches from mild to severe occur regularly with the acute attack of the virus.