One practice’s success with platelet-rich plasma therapy

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Active Life Physical Medicine & Pain Center, PLLC Avondale, Ariz; Midwestern University, Glendale, Ariz

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How best to prevent acute pain from becoming chronic?

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The best approach is to find the individual risk factors and known predictors and manage them early on.

 

 

 

 

 

 

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The best approach is to find the individual risk factors and known predictors and manage them early on.
The best approach is to find the individual risk factors and known predictors and manage them early on.

 

 

 

 

 

 

 

 

 

 

 

 

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JOURNAL SCANSummary of Key ArticlesExploring the Role of Metanx® in Diabetic Neuropathy

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Exploring the Role of Metanx® in Diabetic Neuropathy

A supplement to Internal Medicine News. This supplement was sponsored by Nestlé Health Science-Pamlab, Inc.

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  • Introduction
  • Prevalence and Etiology
  • Signs and Symptoms
  • Disease Progression
  • Shortcomings of Available Palliative Prescription Therapies
  • Role of Metanx® in Diabetic Neuropathy
  • A Randomized Trial of Metanx® in Patients with Type 2 Diabetes and Peripheral Neuropathy
  • Efficacy of Metanx® in Treating Peripheral Neuropathy and Increasing Nerve Fiber Density in Zucker Diabetic Fatty Rats

 

Faculty/Faculty Disclosures

Aaron I. Vinik, MD, PhD
Professor of Medicine/Pathology/Neurobiology
Director of Research and Neuroendocrine Unit
Murray Waitzer Endowed Chair of Diabetes Research
Strelitz Diabetes Center for Endocrine and Metabolic Disorders
Eastern Virginia Medical School
Norfolk, Virginia

Dr Vinik has received compensation from Nestlé Health Science-Pamlab, Inc., for his participation in preparing this supplement.

Vivian Fonseca, MD
Tullis–Tulane Alumni Chair in Diabetes
Professor of Medicine
Chief, Section of Endocrinology
Tulane University School of Medicine
New Orleans, Louisiana

Dr Fonseca reports that he has served as a consultant for Nestlé Health Science-Pamlab, Inc., and has received compensation from Nestlé Health Science-Pamlab, Inc., for his participation in preparing this supplement.

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  • Introduction
  • Prevalence and Etiology
  • Signs and Symptoms
  • Disease Progression
  • Shortcomings of Available Palliative Prescription Therapies
  • Role of Metanx® in Diabetic Neuropathy
  • A Randomized Trial of Metanx® in Patients with Type 2 Diabetes and Peripheral Neuropathy
  • Efficacy of Metanx® in Treating Peripheral Neuropathy and Increasing Nerve Fiber Density in Zucker Diabetic Fatty Rats

 

Faculty/Faculty Disclosures

Aaron I. Vinik, MD, PhD
Professor of Medicine/Pathology/Neurobiology
Director of Research and Neuroendocrine Unit
Murray Waitzer Endowed Chair of Diabetes Research
Strelitz Diabetes Center for Endocrine and Metabolic Disorders
Eastern Virginia Medical School
Norfolk, Virginia

Dr Vinik has received compensation from Nestlé Health Science-Pamlab, Inc., for his participation in preparing this supplement.

Vivian Fonseca, MD
Tullis–Tulane Alumni Chair in Diabetes
Professor of Medicine
Chief, Section of Endocrinology
Tulane University School of Medicine
New Orleans, Louisiana

Dr Fonseca reports that he has served as a consultant for Nestlé Health Science-Pamlab, Inc., and has received compensation from Nestlé Health Science-Pamlab, Inc., for his participation in preparing this supplement.

A supplement to Internal Medicine News. This supplement was sponsored by Nestlé Health Science-Pamlab, Inc.

Topics

 

  • Introduction
  • Prevalence and Etiology
  • Signs and Symptoms
  • Disease Progression
  • Shortcomings of Available Palliative Prescription Therapies
  • Role of Metanx® in Diabetic Neuropathy
  • A Randomized Trial of Metanx® in Patients with Type 2 Diabetes and Peripheral Neuropathy
  • Efficacy of Metanx® in Treating Peripheral Neuropathy and Increasing Nerve Fiber Density in Zucker Diabetic Fatty Rats

 

Faculty/Faculty Disclosures

Aaron I. Vinik, MD, PhD
Professor of Medicine/Pathology/Neurobiology
Director of Research and Neuroendocrine Unit
Murray Waitzer Endowed Chair of Diabetes Research
Strelitz Diabetes Center for Endocrine and Metabolic Disorders
Eastern Virginia Medical School
Norfolk, Virginia

Dr Vinik has received compensation from Nestlé Health Science-Pamlab, Inc., for his participation in preparing this supplement.

Vivian Fonseca, MD
Tullis–Tulane Alumni Chair in Diabetes
Professor of Medicine
Chief, Section of Endocrinology
Tulane University School of Medicine
New Orleans, Louisiana

Dr Fonseca reports that he has served as a consultant for Nestlé Health Science-Pamlab, Inc., and has received compensation from Nestlé Health Science-Pamlab, Inc., for his participation in preparing this supplement.

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  • Introduction
  • Prevalence and Etiology
  • Signs and Symptoms
  • Disease Progression
  • Shortcomings of Available Palliative Prescription Therapies
  • Role of Metanx® in Diabetic Neuropathy
  • A Randomized Trial of Metanx® in Patients with Type 2 Diabetes and Peripheral Neuropathy
  • Efficacy of Metanx® in Treating Peripheral Neuropathy and Increasing Nerve Fiber Density in Zucker Diabetic Fatty Rats

 

Faculty/Faculty Disclosures

Aaron I. Vinik, MD, PhD
Professor of Medicine/Pathology/Neurobiology
Director of Research and Neuroendocrine Unit
Murray Waitzer Endowed Chair of Diabetes Research
Strelitz Diabetes Center for Endocrine and Metabolic Disorders
Eastern Virginia Medical School
Norfolk, Virginia

Dr Vinik has received compensation from Nestlé Health Science-Pamlab, Inc., for his participation in preparing this supplement.

Vivian Fonseca, MD
Tullis–Tulane Alumni Chair in Diabetes
Professor of Medicine
Chief, Section of Endocrinology
Tulane University School of Medicine
New Orleans, Louisiana

Dr Fonseca reports that he has served as a consultant for Nestlé Health Science-Pamlab, Inc., and has received compensation from Nestlé Health Science-Pamlab, Inc., for his participation in preparing this supplement.

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A supplement to Family Practice News. This supplement was sponsored by Nestlé Health Science-Pamlab, Inc.

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  • Introduction
  • Prevalence and Etiology
  • Signs and Symptoms
  • Disease Progression
  • Shortcomings of Available Palliative Prescription Therapies
  • Role of Metanx® in Diabetic Neuropathy
  • A Randomized Trial of Metanx® in Patients with Type 2 Diabetes and Peripheral Neuropathy
  • Efficacy of Metanx® in Treating Peripheral Neuropathy and Increasing Nerve Fiber Density in Zucker Diabetic Fatty Rats

 

Faculty/Faculty Disclosures

Aaron I. Vinik, MD, PhD
Professor of Medicine/Pathology/Neurobiology
Director of Research and Neuroendocrine Unit
Murray Waitzer Endowed Chair of Diabetes Research
Strelitz Diabetes Center for Endocrine and Metabolic Disorders
Eastern Virginia Medical School
Norfolk, Virginia

Dr Vinik has received compensation from Nestlé Health Science-Pamlab, Inc., for his participation in preparing this supplement.

Vivian Fonseca, MD
Tullis–Tulane Alumni Chair in Diabetes
Professor of Medicine
Chief, Section of Endocrinology
Tulane University School of Medicine
New Orleans, Louisiana

Dr Fonseca reports that he has served as a consultant for Nestlé Health Science-Pamlab, Inc., and has received compensation from Nestlé Health Science-Pamlab, Inc., for his participation in preparing this supplement.

A supplement to Family Practice News. This supplement was sponsored by Nestlé Health Science-Pamlab, Inc.

Topics

 

  • Introduction
  • Prevalence and Etiology
  • Signs and Symptoms
  • Disease Progression
  • Shortcomings of Available Palliative Prescription Therapies
  • Role of Metanx® in Diabetic Neuropathy
  • A Randomized Trial of Metanx® in Patients with Type 2 Diabetes and Peripheral Neuropathy
  • Efficacy of Metanx® in Treating Peripheral Neuropathy and Increasing Nerve Fiber Density in Zucker Diabetic Fatty Rats

 

Faculty/Faculty Disclosures

Aaron I. Vinik, MD, PhD
Professor of Medicine/Pathology/Neurobiology
Director of Research and Neuroendocrine Unit
Murray Waitzer Endowed Chair of Diabetes Research
Strelitz Diabetes Center for Endocrine and Metabolic Disorders
Eastern Virginia Medical School
Norfolk, Virginia

Dr Vinik has received compensation from Nestlé Health Science-Pamlab, Inc., for his participation in preparing this supplement.

Vivian Fonseca, MD
Tullis–Tulane Alumni Chair in Diabetes
Professor of Medicine
Chief, Section of Endocrinology
Tulane University School of Medicine
New Orleans, Louisiana

Dr Fonseca reports that he has served as a consultant for Nestlé Health Science-Pamlab, Inc., and has received compensation from Nestlé Health Science-Pamlab, Inc., for his participation in preparing this supplement.

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JOURNAL SCANSummary of Key ArticlesExploring the Role of Metanx® in Diabetic Neuropathy

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Exploring the Role of Metanx® in Diabetic Neuropathy

A supplement to Clinical Endocrinology News. This supplement was sponsored by Nestlé Health Science-Pamlab, Inc.

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  • Introduction
  • Prevalence and Etiology
  • Signs and Symptoms
  • Disease Progression
  • Shortcomings of Available Palliative Prescription Therapies
  • Role of Metanx® in Diabetic Neuropathy
  • A Randomized Trial of Metanx® in Patients with Type 2 Diabetes and Peripheral Neuropathy
  • Efficacy of Metanx® in Treating Peripheral Neuropathy and Increasing Nerve Fiber Density in Zucker Diabetic Fatty Rats

 

Faculty/Faculty Disclosures

Aaron I. Vinik, MD, PhD
Professor of Medicine/Pathology/Neurobiology
Director of Research and Neuroendocrine Unit
Murray Waitzer Endowed Chair of Diabetes Research
Strelitz Diabetes Center for Endocrine and Metabolic Disorders
Eastern Virginia Medical School
Norfolk, Virginia

Dr Vinik has received compensation from Nestlé Health Science-Pamlab, Inc., for his participation in preparing this supplement.

Vivian Fonseca, MD
Tullis–Tulane Alumni Chair in Diabetes
Professor of Medicine
Chief, Section of Endocrinology
Tulane University School of Medicine
New Orleans, Louisiana

Dr Fonseca reports that he has served as a consultant for Nestlé Health Science-Pamlab, Inc., and has received compensation from Nestlé Health Science-Pamlab, Inc., for his participation in preparing this supplement.

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A supplement to Clinical Endocrinology News. This supplement was sponsored by Nestlé Health Science-Pamlab, Inc.

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  • Introduction
  • Prevalence and Etiology
  • Signs and Symptoms
  • Disease Progression
  • Shortcomings of Available Palliative Prescription Therapies
  • Role of Metanx® in Diabetic Neuropathy
  • A Randomized Trial of Metanx® in Patients with Type 2 Diabetes and Peripheral Neuropathy
  • Efficacy of Metanx® in Treating Peripheral Neuropathy and Increasing Nerve Fiber Density in Zucker Diabetic Fatty Rats

 

Faculty/Faculty Disclosures

Aaron I. Vinik, MD, PhD
Professor of Medicine/Pathology/Neurobiology
Director of Research and Neuroendocrine Unit
Murray Waitzer Endowed Chair of Diabetes Research
Strelitz Diabetes Center for Endocrine and Metabolic Disorders
Eastern Virginia Medical School
Norfolk, Virginia

Dr Vinik has received compensation from Nestlé Health Science-Pamlab, Inc., for his participation in preparing this supplement.

Vivian Fonseca, MD
Tullis–Tulane Alumni Chair in Diabetes
Professor of Medicine
Chief, Section of Endocrinology
Tulane University School of Medicine
New Orleans, Louisiana

Dr Fonseca reports that he has served as a consultant for Nestlé Health Science-Pamlab, Inc., and has received compensation from Nestlé Health Science-Pamlab, Inc., for his participation in preparing this supplement.

A supplement to Clinical Endocrinology News. This supplement was sponsored by Nestlé Health Science-Pamlab, Inc.

Topics

 

  • Introduction
  • Prevalence and Etiology
  • Signs and Symptoms
  • Disease Progression
  • Shortcomings of Available Palliative Prescription Therapies
  • Role of Metanx® in Diabetic Neuropathy
  • A Randomized Trial of Metanx® in Patients with Type 2 Diabetes and Peripheral Neuropathy
  • Efficacy of Metanx® in Treating Peripheral Neuropathy and Increasing Nerve Fiber Density in Zucker Diabetic Fatty Rats

 

Faculty/Faculty Disclosures

Aaron I. Vinik, MD, PhD
Professor of Medicine/Pathology/Neurobiology
Director of Research and Neuroendocrine Unit
Murray Waitzer Endowed Chair of Diabetes Research
Strelitz Diabetes Center for Endocrine and Metabolic Disorders
Eastern Virginia Medical School
Norfolk, Virginia

Dr Vinik has received compensation from Nestlé Health Science-Pamlab, Inc., for his participation in preparing this supplement.

Vivian Fonseca, MD
Tullis–Tulane Alumni Chair in Diabetes
Professor of Medicine
Chief, Section of Endocrinology
Tulane University School of Medicine
New Orleans, Louisiana

Dr Fonseca reports that he has served as a consultant for Nestlé Health Science-Pamlab, Inc., and has received compensation from Nestlé Health Science-Pamlab, Inc., for his participation in preparing this supplement.

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Knowing your patients’ cancer family history saves lives

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Knowing your patients’ cancer family history saves lives

With genomic technology advancing rapidly, we are quickly progressing into an exciting era where we will be able to practice truly personalized medicine and tailor patient care based on individual risk. To illustrate, every woman fits into one of 3 risk categories for breast cancer: those that carry sporadic, familial, or hereditary cancer risk. As the de facto primary care providers for many women, we have the responsibility to stratify every patient into one of these 3 categories in order to properly adapt screening and management decisions. Additionally, a focus on family history and risk stratification allows us the opportunity to detect those patients who carry one of several genetic mutations that dramatically increase their risk of developing cancer.

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With genomic technology advancing rapidly, we are quickly progressing into an exciting era where we will be able to practice truly personalized medicine and tailor patient care based on individual risk. To illustrate, every woman fits into one of 3 risk categories for breast cancer: those that carry sporadic, familial, or hereditary cancer risk. As the de facto primary care providers for many women, we have the responsibility to stratify every patient into one of these 3 categories in order to properly adapt screening and management decisions. Additionally, a focus on family history and risk stratification allows us the opportunity to detect those patients who carry one of several genetic mutations that dramatically increase their risk of developing cancer.

With genomic technology advancing rapidly, we are quickly progressing into an exciting era where we will be able to practice truly personalized medicine and tailor patient care based on individual risk. To illustrate, every woman fits into one of 3 risk categories for breast cancer: those that carry sporadic, familial, or hereditary cancer risk. As the de facto primary care providers for many women, we have the responsibility to stratify every patient into one of these 3 categories in order to properly adapt screening and management decisions. Additionally, a focus on family history and risk stratification allows us the opportunity to detect those patients who carry one of several genetic mutations that dramatically increase their risk of developing cancer.

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Best Practices in IVF Nursing: Fertility preservation: Technological advances make future children possible for women undergoing cancer treatment today

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Best Practices in IVF Nursing: Fertility preservation: Technological advances make future children possible for women undergoing cancer treatment today

The American Cancer Society estimates that, in the United States, 1,660,290 people will be diagnosed with cancer during 2013.1 About 8.9% of them, or nearly 148,000 people, will be under the age of 45, according to incidence data from the National Cancer Institute.2 We are familiar with the complex constellation of emotions – arguably even more profound when the patient is in the prime of his or her life – that surround a cancer diagnosis. Fortunately, significant advances in early diagnosis and in the efficacy of cancer therapies have led to improved long-term survival for many of these patients.

In the past, the sole focus was on preserving and prolonging life. Today, the need to address fertility concerns and other quality of life issues is recognized from the start.

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Carol B. Lesser, MSN, RNC, NP, is a Nurse Practitioner at Boston IVF, Boston, MA.

Alana Shear, RN, BSN, is Fertility Preservation Program Manager at Reproductive Medicine Associates of New Jersey (RMANJ) and is Nurse Manager of its Eatontown, NJ office.

Carol Lesser discloses that she received compensation from Watson for her participation in the preparation of this newsletter.

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Carol Lesser discloses that she received compensation from Watson for her participation in the preparation of this newsletter.

Alana Shear, RN, discloses that she received compensation from Watson for her participation in the preparation of this newsletter. She is a member of the speakers’ bureau for EMD Serono, Inc.

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Carol B. Lesser, MSN, RNC, NP, is a Nurse Practitioner at Boston IVF, Boston, MA.

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Carol Lesser discloses that she received compensation from Watson for her participation in the preparation of this newsletter.

Alana Shear, RN, discloses that she received compensation from Watson for her participation in the preparation of this newsletter. She is a member of the speakers’ bureau for EMD Serono, Inc.

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The American Cancer Society estimates that, in the United States, 1,660,290 people will be diagnosed with cancer during 2013.1 About 8.9% of them, or nearly 148,000 people, will be under the age of 45, according to incidence data from the National Cancer Institute.2 We are familiar with the complex constellation of emotions – arguably even more profound when the patient is in the prime of his or her life – that surround a cancer diagnosis. Fortunately, significant advances in early diagnosis and in the efficacy of cancer therapies have led to improved long-term survival for many of these patients.

In the past, the sole focus was on preserving and prolonging life. Today, the need to address fertility concerns and other quality of life issues is recognized from the start.

The American Cancer Society estimates that, in the United States, 1,660,290 people will be diagnosed with cancer during 2013.1 About 8.9% of them, or nearly 148,000 people, will be under the age of 45, according to incidence data from the National Cancer Institute.2 We are familiar with the complex constellation of emotions – arguably even more profound when the patient is in the prime of his or her life – that surround a cancer diagnosis. Fortunately, significant advances in early diagnosis and in the efficacy of cancer therapies have led to improved long-term survival for many of these patients.

In the past, the sole focus was on preserving and prolonging life. Today, the need to address fertility concerns and other quality of life issues is recognized from the start.

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BEST PRACTICES IN: Thermal Integrity of Shipping Containers Used by Private Cord Blood Banks

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BEST PRACTICES IN: Thermal Integrity of Shipping Containers Used by Private Cord Blood Banks

A supplement to Ob.Gyn. News. This supplement was sponsored by CORD:USE Cord Blood Bank, Inc.

 

Topics
• Introduction
• Materials and methods
•  Results
• Discussion


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Robert N. Wolfson, MD, PhD, FACOG, FAIUM

Specialists in Women’s Health, LLC

Colorado Springs, Colorado

 

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Copyright  ©2013 by Frontline Medical Communications Inc.

 

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• Materials and methods
•  Results
• Discussion


Faculty/Faculty Disclosure

Robert N. Wolfson, MD, PhD, FACOG, FAIUM

Specialists in Women’s Health, LLC

Colorado Springs, Colorado

 

Dr Wolfson has nothing to disclose.

 

Copyright  ©2013 by Frontline Medical Communications Inc.

 

To view the supplement, click the image above.

A supplement to Ob.Gyn. News. This supplement was sponsored by CORD:USE Cord Blood Bank, Inc.

 

Topics
• Introduction
• Materials and methods
•  Results
• Discussion


Faculty/Faculty Disclosure

Robert N. Wolfson, MD, PhD, FACOG, FAIUM

Specialists in Women’s Health, LLC

Colorado Springs, Colorado

 

Dr Wolfson has nothing to disclose.

 

Copyright  ©2013 by Frontline Medical Communications Inc.

 

To view the supplement, click the image above.

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Clinical Utility of Low-Density Lipoprotein Particles and Apolipoprotein B in Patients with Cardiovascular Risk

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Clinical Utility of Low-Density Lipoprotein Particles and Apolipoprotein B in Patients with Cardiovascular Risk

Because of biological variability in lipid metabolism and the effects of lipid-lowering therapies, the cholesterol content carried in LDL particles varies greatly among patients and in the same patient over time. When measures of LDL-P quantity differ from LDL-C in terms of percentiles, apo B or NMR-measured LDL-P consistently demonstrate a significantly stronger association with CHD outcomes than LDL-C in prospective epidemiologic studies and better predict on-treatment residual risk in clinical trials.

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Because of biological variability in lipid metabolism and the effects of lipid-lowering therapies, the cholesterol content carried in LDL particles varies greatly among patients and in the same patient over time. When measures of LDL-P quantity differ from LDL-C in terms of percentiles, apo B or NMR-measured LDL-P consistently demonstrate a significantly stronger association with CHD outcomes than LDL-C in prospective epidemiologic studies and better predict on-treatment residual risk in clinical trials.

Because of biological variability in lipid metabolism and the effects of lipid-lowering therapies, the cholesterol content carried in LDL particles varies greatly among patients and in the same patient over time. When measures of LDL-P quantity differ from LDL-C in terms of percentiles, apo B or NMR-measured LDL-P consistently demonstrate a significantly stronger association with CHD outcomes than LDL-C in prospective epidemiologic studies and better predict on-treatment residual risk in clinical trials.

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The Journal of Family Practice - 62(7)
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The Journal of Family Practice - 62(7)
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Clinical Utility of Low-Density Lipoprotein Particles and Apolipoprotein B in Patients with Cardiovascular Risk
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Clinical Utility of Low-Density Lipoprotein Particles and Apolipoprotein B in Patients with Cardiovascular Risk
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Chronic Pain Perspectives – June 2013

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Chronic Pain Perspectives – June 2013

•  What to do when pain and addiction coexist

 •  Polymyalgia rheumatica and giant cell arteritis: How best to approach these related diseases

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A SUPPLEMENT TO THE JOURNAL OF FAMILY PRACTICE

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The Journal of Family Practice - 62(06)
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A SUPPLEMENT TO THE JOURNAL OF FAMILY PRACTICE

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A SUPPLEMENT TO THE JOURNAL OF FAMILY PRACTICE

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•  What to do when pain and addiction coexist

 •  Polymyalgia rheumatica and giant cell arteritis: How best to approach these related diseases

•  What to do when pain and addiction coexist

 •  Polymyalgia rheumatica and giant cell arteritis: How best to approach these related diseases

Issue
The Journal of Family Practice - 62(06)
Issue
The Journal of Family Practice - 62(06)
Page Number
S5-S16
Page Number
S5-S16
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Chronic Pain Perspectives – June 2013
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Chronic Pain Perspectives – June 2013
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