Primary Care/Hospitalist
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The Opioids Just Keeping Coming
Most opioid prescriptions are continued after a patient overdoses accidentally. Those patients are also at risk for a recurrent overdose.
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Potatoes Increase Risk of Type 2 Diabetes Mellitus
Potato consumption, particularly in the form of French fries, is strongly correlated with the development of type 2 diabetes.
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Perils of High-dose Vitamin D Supplementation
Bischoff-Ferrari H, et al. Monthly high-dose vitamin D treatment for the prevention of functional decline. JAMA Intern Med 2016; doi:10.1001.
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Chinese Herbal Medicine for Esophageal Cancer
Although Chinese herbal medicine probably does not slow disease progression or improve survival in esophageal cancer patients, it may improve quality of life and reduce adverse effects of radiotherapy and chemotherapy.
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That’s Not a Hot Flash, It’s Kidney Yin Deficiency: Try Acupuncture?
Both real and sham acupuncture provide benefits for women suffering from menopausal hot flashes, including for months after the treatment ends.
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Chiropractic for Ankle Sprains
Ankle joint chiropractic manipulation as adjunctive therapy to typical rehabilitation improves symptoms of chronic ankle instability from repeated sprains.
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Fried Foods: Friend or Foe?
Frequent consumption of food fried (four or more times a week) in reused oils significantly increases obesity and type 2 diabetes, hypertension, and hyperlipidemia, and is associated with increased risk of cardiovascular disease. What remains unknown, however, is the ideal duration, temperature, and method for safe frying, as well as how often oil can be reasonably reused.
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Clinical Briefs
In this section: another reason to take vitamin D supplements; polishing physical exam skills; and comparing the relationship between uric acid, fructose, and hypertension.
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Elbasvir and Grazoprevir Tablets (Zepatier)
The FDA has approved another oral interferon-free regimen for the treatment of chronic hepatitis C (HCV) genotypes 1 and 4.
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Should Postmenopausal Women Be Encouraged to Take Calcium?
A systematic review of randomized, controlled trials of calcium supplementation found only small non-progressive increases in bone mineral density. This supports the clinical conclusion that supplementation alone is insufficient to prevent fracture risk.