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What you should know about living donor liver transplantation
If a patient tells you he or she is considering being a living donor, keep an open mind. This is the patient's decision, and physicians should not influence it with their personal opinions.
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How to guide patients away from fad diets and toward healthy eating
Low-carb, low-fat, and low-calorie diets permeate the popular media,but which diet your patients choose is not as important as the need for them to follow a nutritional plan that results in weight loss.
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Gastroesophageal reflux disease
A 28-year-old man presents with a history of indigestion and heartburn that has occurred several times a week for the past 2 years. He also complains of a 1-month history of a nonproductive cough, particularly at night. He has smoked 1 pack of cigarettes a day for the last 10 years, and he drinks a 6-pack of beer on weekends. He takes ibuprofen twice daily for a burning sensation in his throat.
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Dyspepsia guidelines reaffirm that drugs work
The American Gastroenterological Association (AGA) issued newly revised guidelines for the evaluation and treatment of dyspepsia late last year. Pharmacotherapy with proton pump inhibitors remains the primary treatment modality, but the AGA has backed off from earlier recommendations for endoscopic examination of patients in early middle age.
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