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Sunday, April 24, 2011
Outdoor (Easter) Adventures April 24, 2011
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Once your allergies and asthma are under control, I strongly recommend to all of my patients and blog followers to get exercise. The weather happened to be just right, so following the recommendation of another new patient 2 days ago, my family and I ventured to the new Cedar Falls Park of the Grenville County Recreation District. This has been open for 2-3 months. I strongly recommend the drive (only 40 minutes from Greer) to the tiny, tiny town of Fork Shoals, SC (west of Fountain Inn) to see this beautiful part of the Reedy River. I definitely think this is more beautiful than the down town Reedy River Falls. No offense intended. The river is wider, has several falls and shoals. This place is going to be crowded once people find out about Cedar Falls and all of the paths get finished.
A reminder from ADAC's Green Team Chairperson (NK). Thank you!
Allergic diseases are very common and include allergic rhinitis (hay fever), atopic dermatitis (eczema), urticaria (hives), chronic sinusitis (infections), asthma, food allergies, drug allergies, insect allergies, and anaphylaxis (life-threatening allergic reactions). If people knew what they were allergic to, and took proper preventative measures, they would not have nearly the amount of suffering or medication use. Here are ideas to help people understand how they can live healthier lives.
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WEBSITE AWARDS
My biography and contact me
- Neil Kao
- Greenville/Spartanburg, South Carolina, United States
- I am a board certified specialist in internal medicine as well as allergy and immunology. I practice in Greenville and Spartanburg, South Carolina. I attended the University of Chicago as an undergraduate—although this was before Barack Obama taught there!—and earned my B.A. in Chemistry in 1984. I earned my M.D. at the University of Illinois Medical School. Then, I did a three-year residency in internal medicine at Lutheran General Hospital. Finally, my two-year fellowship in allergy and immunology was at Rush Medical College. This blog is dedicated to my wife and four kids. My motto (courtesy of my wonderful wife) is, "If you sneeze or wheeze, come see me, please." She is the reason I went into allergy. She has severe allergies, and I wanted to learn about how to take better care of her health. The service organizations I support are the American Lung Association and Boy Scouts of America. The purpose of this blog is to help people understand and manage allergic diseases. This blog is the direct result of patients asking me questions. I am always trying to improve, so if you notice an error, please contact me.
WEBSITES FOR MORE INFORMATION ON ALLERGIES AND ASTHMA
- ***National Allergy Bureau's pollen counts: Greenville, SC
- ***Greenville-Spartanburg Air Quality Conditions
- ***American Academy of Allergy, Asthma and Immunology
- ***American College of Allergy, Asthma and Immunology
- ***Allergy & Asthma Network Mothers of Asthmatics
- ***American Latex Allergy Association (A.L.E.R.T., Inc.)
- ***American Lung Association
- ***American Partnership for Eosinophilic Disorders
- ***Asthma and Allergy Foundation of America
- ***Food Allergy Network
- ***Immune Deficiency Foundation
- ***National Eczema Association
- ***CDC Influenza Map
- ***Flu Trends by Google
Topics I Thought Were Interesting and Frequently Asked Questions (FAQ) from Patients
- "Asthmatx" what is it? (1)
- 2007 Guidelines for asthma (1)
- 2009 Tree Pollen Season Predictions (1)
- 2020 Healthy Peoples Objectives Asthma (1)
- A day at work seeing drug reps (1)
- AAAAI March 2011 Meeting Report (1)
- ACAAI November 2008 Meeting Report (1)
- Acupuncture and asthma (1)
- ADAC Goes Greener (1)
- Adherence to asthma meds (1)
- Advair and death (Men's Health magazine article) (1)
- Advil Recall (1)
- Affording Medications: Partnership for Prescription Assistance (1)
- Air filtration devices (HEPA) (1)
- ALA Fight for Air Climb Greenville 2011 (1)
- Albuterol HFA inhalers created equally? (1)
- Alcohol Content of Cold Medications (1)
- Allegra generic prescription-only antihistamine (1)
- Allegra Over-The-Counter (1)
- Allergic Disease Asthma Center Injection Clinic Hours (1)
- Allergic reactions to foods (1)
- Allergic reactions to foods 2 (1)
- Allergic rhinitis lecture (1)
- Allergic Rhinitis Lecture Followup (1)
- Allergist what is he? (1)
- Allergy Immunotherapy and NHLBI Guidelines (1)
- Allergy Immunotherapy DVD script (1)
- Allergy Immunotherapy Safety and Efficacy (1)
- Allergy Report for February 2010 (1)
- Allergy Treatment Pyramid (1)
- American Lung Association 2010 Upstate Oxygen Ball (1)
- American Lung Association Ball November 21 2009 (1)
- American Lung Association Big Ride Across America Summer 2010 (1)
- American Lung Association Climb Greenville April 10 2010 (1)
- Anaphylaxis Allergy Action Plan (1)
- Anaphylaxis Allergy Action Plan by Kao (1)
- Anaphylaxis Definition (1)
- Anaphylaxis Guidelines 2011 Slideshow (1)
- Antihistamine: eyedrops: which is the best? (1)
- Antioxidants blueberries (1)
- Astepro 0.15% Approval (1)
- Astepro Clincal Observations and Taste Test (1)
- Asthma Adults Financial Burden (1)
- Asthma Assessment Guidelines by ATS/ERS (1)
- Asthma data 2011 (1)
- Asthma Expert Panel Report-3 Highlights (1)
- Asthma Facts SC 2008 (1)
- Asthma inhalers use HFA as the propellant not CFC (1)
- Asthma meeting highlights 2009 (1)
- Asthma Predictive Index (1)
- Asthma prevalence and statistics (1)
- Asthma reasons for poor control (1)
- Asthma Rehabilitation What is it? (1)
- Asthma statistics 2009 (1)
- Astragalus and the Immune System (1)
- Atopic Dermatitis' Trigger Factors (1)
- Atopic March: what is it and what to do (1)
- Auto Accidents and Brain Death (1)
- Average Rainfall Greenville (1)
- Balloon Sinuplasty What is it and Do I Recommend It? (1)
- Benedryl (1)
- Best Time of Day to Avoid Pollen (1)
- Better diet part 1 (1)
- Bilastine a New Antihistamine (1)
- Black Box Warnings for Avelox Cipro Levaquin (quinolone antibiotics) (1)
- Black Box Warnings with Allergy and Asthma Drugs (1)
- Bloodless Diabetes Monitoring (1)
- Bradford Pear allergy (1)
- Bread information (1)
- BreathePure Evaluation (1)
- Bromelain pineapples sinus problems (1)
- Cat allergy Fel d 1 (1)
- Cataracts and N-acetyl-carnosine eyedrops (1)
- Cataracts from Asthma Medications (1)
- Cawthorne's Head Exercises for Dizziness (1)
- CDC Vaccination Recommendations 2009 (1)
- Celiac disease and wheat allergy (1)
- Children with food skin respiratory allergy (1)
- Chinese New Year 2009 (of the Ox) (1)
- Chloraseptic "Allergen Block" Evaluation (1)
- Cigarette Tax 50 cents higher (1)
- Cigarette tax in SC (1)
- Cigarette tax new Federal increase (1)
- Claritin Eye (Drops) (1)
- Claritin Reditabs 5 mg (1)
- Cold desserts difference (1)
- Cold facts (1)
- Combivent inhaler (1)
- Comorbidities and asthma (1)
- Compression Socks and leg swelling or pains (1)
- Contact Dermatitis - a short overview (1)
- COPD Treatment Pyramid (1)
- Corticosteroid Topical Potency Chart (1)
- Corticosteroids Nasal Bone Mineral Density (1)
- Corticosteroids: nasal: which is the best? (1)
- Cost of medications in the U.S. is rising (1)
- Cost of medications in the U.S. is rising 2 (1)
- Cotton linters kapok pyrethrum (1)
- Cough and hydrocodone or codeine products (2) (1)
- Cough and hydrocodone products (1)
- Cough and Rock'n Rye (1)
- Cough medicine carbetapentane (1)
- Cough medicine chlophedianol (1)
- Cough: differential diagnosis and treatments (1)
- Coupons Internet (1)
- Cycling Race in Greenville (1)
- Cytos allergen-independent immunotherapy (1)
- Decongestants what are they? (1)
- Definitions of Hypersensitivity Allergy and Atopy (1)
- Determining Body Fat Percentage (1)
- Diets for food allergy - what to avoid (1)
- Discontinued inhalers (1)
- Doctor of the Day (1)
- Dog Allergy and the Ideal Breed (1)
- Donation of expired medications (1)
- Drug Sales 2009 update (1)
- Drug Sales 2010 update (1)
- Drug update patent expirations (1)
- Drugs sales data and controlled substances 2010 (1)
- Dulera Approved (1)
- Dulera what is it? (1)
- Dust mite avoidance: pillow encasings (1)
- Dust Mite Invasion (1)
- E-prescribing: my experience and recommendations (1)
- Ear Wax Removal Guidelines (1)
- Eczema and Bleach Baths (1)
- Eczema and Bleach Baths Part 2 (1)
- Eczema child below 17 years old by race (1)
- Elestat for Allergic Conjunctivitis (1)
- Elidel and Protopic Safety (1)
- Elimination diet (1)
- Enantiomers are separate chemical compounds (1)
- EPA Infromation on Molds and Home Checklist (1)
- Epinephrine auto-injector generic (1)
- Epinephrine Auto-injector Holders and Carriers (1)
- Epinephrine devices auto-injectable (1)
- Evaluating Medical Records: "patientkeeper" (2) (1)
- Exercise and losing fat (1)
- Extra radiation exposure from x-ray studies (1)
- Eye drops for allergic conjuncitivitis (1)
- Falls Creek Falls May 2011 (1)
- FDA information on nasal allergies and understanding OTC medications (1)
- FDA List of Unapproved Prescription Cough Cold and Allergy Products (1)
- Fluzone High Dose Influenza (1)
- Food Allergies FDA video (1)
- Food Allergies increasing in U.S. (1)
- Food Allergy Action Plan (1)
- Food Allergy and Adverse Reactions 1 (1)
- Food Allergy Classification System (1)
- Food Allergy Guidelines 2011 (1)
- Food Allergy Initiative and more information (1)
- Food Allergy Lecture for Piedmont Dietetic Association (1)
- Food Cross-Reactivities (1)
- Food Families (1)
- Food families revised notice (1)
- Generic medications: right or wrong? (1)
- Generics for Singulair and Clarinex (1)
- Genetic Information Nondiscrimination Act 2008 (1)
- Gentle Naturals Baby Eczema Cream (1)
- Ginger Reduce Allergy Symptoms (1)
- Global warming and allergies (1)
- Goal of Allergic Rhinitis Management (1)
- Goals of Asthma Management (1)
- Graph of pollen and mold counts Greenville SC 2008 (1)
- Grass Pollen Season 2009 Analysis (1)
- Grass which is safest? (1)
- Green tea and asthma (1)
- Greenville a Great Place to Live? (1)
- Greenville Capital Spring Allergy Fall Allergy 2011 Asthma (1)
- Greenville Capital Spring Allergy Fall Allergy Asthma (2)
- Greenville Capital Spring Allergy Fall Allergy Asthma 2011 (1)
- Greenville Chinese Cultural Association (1)
- Greenville's Magnificent Mile (1)
- Guaifenesin Long-Acting Products (1)
- Guaifenesin: Long-acting Forms Discussion (1)
- Happy New Year 2009 (1)
- Happy Thanksgiving 2010 (1)
- Health Care Reform 2: Common Goals (1)
- Health Care Reform 3 More Common Goals (1)
- Health Care Reform I (1)
- Health Care Reform May 26 2009 (1)
- Healthiest Counties in South Carolina (1)
- Healthy Activity: Hiking in Pisgah (1)
- HEPA ULPA definitions (1)
- Hives whelps and urticaria - a short overview (1)
- Honey can reduce cough in children (1)
- Honey locally-made and less allergy symptoms (1)
- Hot inquiries 091106 (1)
- Hot inquiries 091117 (1)
- Household Dust Composition (1)
- How many have food allergies? (1)
- Hypoallergenic pets (1)
- Illustrations of Normal Anatomy Allergic Rhinitis Nonallergic Rhinitis (1)
- Immunotherapy Questions (1)
- Immunotherapy: new grass pollen shots (1)
- Indacterol approved for COPD (1)
- Influenza (4) - Flu Trends and Tamiflu (1)
- Influenza (6) Update for SC and CDC Advisory (1)
- Influenza update Jan 27 2011 (1)
- Influenza vaccination (1) recommendations CDC 2008 (1)
- Influenza vaccination (2) (1)
- Influenza vaccination (3) and egg allergy - more discussion (1)
- Influenza vaccination (5) nasal spray (Flumist) (1)
- Influenza vaccination (7) - reasons why patients refused (1)
- Influenza vaccination 2010 (1)
- Influenza Vaccination 2011-12 Season (1)
- Inhaled corticosteroids and growth (1)
- Insect stings can cause allergic reactions (1)
- Insect Stings Causing Death (1)
- Instructions for Dust Mite Avoidance (1)
- Instructions for Mold Avoidance (1)
- Instructions for Pet Dander Avoidance (1)
- Instructions for Pollen Avoidance (1)
- Insurance Companies Clinical Policies (1)
- Interim Note: on Sabbatical (1)
- Itching Disorders My Personal Experience (1)
- Jam jelly marmalade (1)
- Juice definitions (1)
- LABA are safe - another meta-analysis (1)
- LABA trials required by FDA April 2011 (1)
- LABAs are banned by F.D.A. (1)
- Labor Day Adventure 2010 (1)
- Lactase pills (1)
- Latex Allergy Awareness Week October 5-11 2008 (1)
- Lectures on Allergic Rhinitis and Asthma (1)
- Life-threatening reactions to insect stings (1)
- Liquid Zyrtec (1)
- List of Online Sites for Safer Eating (1)
- Little Allergies Allergen Block Evaluation and Review (1)
- Loratadine (Claritin): what is it and does it work? (1)
- Loratadine: where to buy inexpensively (1)
- Lung exercises (1)
- Masks part 2 - more discussion (1)
- Masks to prevent allergies and infections (1)
- Medical bracelets (1)
- Medication approximate cost (1)
- Memorial Day 2009 (1)
- Menthol lozenges for coughing and sore throats (1)
- Menthol Vapor Inhaler (1)
- Mercury Amalgams and Allergic Reactions (1)
- Merry Christmas (1)
- Migraine Heaches and Allergies (1)
- Milk allergy - what alternatives exist? (1)
- Milk allergy recent information (1)
- MMR vaccine does not cause autism (1)
- Mold (1)
- Most Popular Posts May 2009 (1)
- Nasal Ease review of efficacy and safety (1)
- Nasal endoscopy (1)
- Nasal sinus rinses with saline solution (1)
- Nasal sinus rinses with saline solution part 2 (1)
- NasalGuard Allergen Gel Evaluation (1)
- New allergy and asthma medications update October 2008 (1)
- New medications and devices update September 2008 (1)
- New medications April 2008 (Patanase or Omnaris) (1)
- New Year's Day 2010 (1)
- NIOX MINO for asthma monitoring (1)
- NIOX MINO for asthma monitoring part 2 (1)
- NIOX MINO for asthma monitoring part 3 (1)
- no Combivent HFA exists (1)
- Nose Bleeds (1)
- Omega-3 Fatty Acids (1)
- One Year Anniversary: Time to Reflect (1)
- Ongoing studies for which we are recruiting subjects (1)
- Oral Immunotherapy (1)
- Organic Food Definition (1)
- Organic Foods and Allergic Diseases (1)
- Other nasal rinse solutions (1)
- Outdoor Activity 101017 (1)
- Outdoor Activity 110424 (1)
- Particle Sizes of Inhaled Corticosteroids (1)
- Particle Sizes of Inhaled Corticosteroids 2 (1)
- Patient Information (1)
- Patient Instruction for Inhaled Devices (1)
- Peanut allergies are increasing but why? (1)
- Peanut allergy cure? (1)
- Penicillin allergy (1)
- Penicillin antibiotic and Penicillium mold are not the same thing (1)
- Photos of asthma medications (1)
- Photos of medications for allergic rhinitis (1)
- Pneumococcal and Influenza Vaccine Sept 2010 (1)
- Pollen and Pollen Counting (1)
- Potassium-Rich Foods can reduce Leg Cramps (1)
- Potential combination asthma meds: corticosteroid + LABA (1)
- Practice Parameters for Diagnosis and Management of Sinusitis (1)
- Pregnancy and asthma (1)
- Pregnancy and safety of allergy or asthma meds (1)
- Preventing asthma - the ETAC study (1)
- Product Tidbits 2009 April Part 1 (1)
- Product Tidbits 2009 April Part 2 (1)
- Product Tidbits 2009 December (1)
- Product Tidbits 2009 February (1)
- Product Tidbits 2009 February Part 2 (1)
- Product Tidbits 2009 March Part 1 (1)
- Product Tidbits 2010 January (1)
- Product Tidbits 2010 September (1)
- Project Rx Nov 2010 (1)
- Quercetin Asthma (1)
- Reactive Airways Disease (1)
- Reasons for ear ventilation tube placement (1)
- Red Flag Prescription (1)
- Relationship between the Month Aeroallergens (pollen mold) and Rainfall in Greenville South Carolina (1)
- Relative doses of steroids used to treat asthma (1)
- RESPeRATE and blood pressure (1)
- Respitrol (1)
- Rice brown or white (1)
- Rim of the Gap Trail in Table (1)
- Risk Factors for Persistent Asthma (1)
- Saline nasal rinse solutions (1)
- Saltaire saline nasal rinses (1)
- Save money with your medications (1)
- School forms for asthma inhaler and epinephrine auto-injector (1)
- Seafood Allergy (1)
- Service Work (1)
- Short-acting beta-2 agonists versus Long-acting beta-2 agonists (1)
- Singulair and the risk for depression (1)
- Singulair FDA's new warning (1)
- Singulair Safety Review Update (2) (1)
- Sinol-M Evaluation (1)
- Sinus infections from virus allergy or bacteria? (1)
- Size Tube Medicine (1)
- Skin Tests Limited by Insurances (1)
- Smoke-free Workplace Ordinances Cities and Counties (1)
- Smoking and Free Programs to Help Peopple Stop (1)
- Smoking and higher health premiums (1)
- Smoking and teenagers (1)
- Smoking bill in North Carolina March 2009 (1)
- Smoking causes more rapid lung function decline (1)
- Smoking Cessation Aids (1)
- Smoking facts for 2009 (1)
- Soft Drink Tax (1)
- South Carolina Society of Allergy Asthma and Immunology (1)
- Spacers for asthma inhalers (1)
- Steroid Oral Preparations (1)
- Stevia Plus Evaluation (1)
- Sublingual Immunotherapy (SLIT): What and when? (1)
- Sunscreen Allergy (1)
- Sunscreen labeling (1)
- Swimming and asthma (1)
- Swine Flu Epidemic 2009 (1)
- Swine Flu Epidemic Update 1 (1)
- Swine Flu Epidemic Update 10 Day 13 (1)
- Swine Flu Epidemic Update 11 Day 16 (1)
- Swine Flu Epidemic Update 12 Day 20 (1)
- Swine Flu Epidemic Update 13 Day 21 (1)
- Swine Flu Epidemic Update 14 Day 26 (1)
- Swine Flu Epidemic Update 15 Day 27 (1)
- Swine Flu Epidemic Update 16 Day 29 (1)
- Swine Flu Epidemic Update 18 Day 34 (1)
- Swine Flu Epidemic Update 19 Day 36 (1)
- Swine Flu Epidemic Update 2 (1)
- Swine Flu Epidemic Update 20 Day 39 (1)
- Swine Flu Epidemic Update 21 Day 41 (1)
- Swine Flu Epidemic Update 22 Day 43 (1)
- Swine Flu Epidemic Update 23 Day 46 (1)
- Swine Flu Epidemic Update 24 Day 48 (1)
- Swine Flu Epidemic Update 25 Day 49 (1)
- Swine Flu Epidemic Update 26 (1)
- Swine Flu Epidemic Update 27 (1)
- Swine Flu Epidemic Update 28 (1)
- Swine Flu Epidemic Update 29 (1)
- Swine Flu Epidemic Update 3 Day 5 (1)
- Swine Flu Epidemic Update 30 (1)
- Swine Flu Epidemic Update 31 (1)
- Swine Flu Epidemic Update 32 (1)
- Swine Flu Epidemic Update 33 (1)
- Swine Flu Epidemic Update 34 (1)
- Swine Flu Epidemic Update 35 (1)
- Swine Flu Epidemic Update 36 (2)
- Swine Flu Epidemic Update 37 (1)
- Swine Flu Epidemic Update 4 Day 6 (1)
- Swine Flu Epidemic Update 5 Day 7 (1)
- Swine Flu Epidemic Update 6 Day 8 (1)
- Swine Flu Epidemic Update 7 Day 10 (1)
- Swine Flu Epidemic Update 8 Day 11 (1)
- Swine Flu Epidemic Update 9 Day 12 (1)
- Swine Flu Vaccinations 1 (1)
- Systemic reactions to allergen immunotherapy (1)
- Taste of Medications - Some suggestions (1)
- Tobacco Regulation 2009 (1)
- Tobacco Tax Increases Fail in South Carolina (1)
- Tobacco taxes and production in the U.S. (1)
- Toccoa Falls GA (1)
- Tonsillectomy reasons to have (1)
- Turbinate Coblation Procedure (1)
- Tylenol (1)
- Update on Long Acting Bronchodilating Agents (1)
- Urinary Cotinine Levels (1)
- Vaccination cause allergies or asthma? (1)
- Vaccines don't cause autism (1)
- Vitamin D Allergic Diseases (1)
- Water standards (1)
- Weight loss long-term secrets of success (1)
- Weight loss sodium intake (1)
- What Things Can Cause Rhinosinusitis? (1)
- Wilderness First Aid courses (1)
- World Allergy Day (1)
- World Asthma Day May 4th 2010 (1)
- Xolair FDA statement (1)
- Xyzal generic approved 101126 (1)
- Xyzal: What is it and what's available? (1)
- Yoga and asthma (1)
- Zicam intra-nasal products warning June 2009 (1)
- Zinx zincum aceticum does what? (1)
- Zyban and Chantix New FDA Warning Label (1)
- Zyrtec and cetirizine are the same antihistamine (1)
Quotes for the day
"When I was young, my ambition was to be one of those people who made a difference in this world. My hope still is to leave the world a little bit better place for my having been here. It's a wonderful life and I love it."
Jim Henson
"Life is very short, and very uncertain; let us spend it as well as we can."
Samuel Johnson
Jim Henson
"Life is very short, and very uncertain; let us spend it as well as we can."
Samuel Johnson
MY GOALS AT PATIENT EVALUATIONS
1. Figure out what is going on. What's the name of the disease process? What's the cause(s)? Ask questions, examine, order diagnostic tests.
2. Make me better, yes, at the price of taking more medications initially.
3. Keep me better, preferably on as little medication as possible, for the long-term. Some medications may be necessary to prevent attacks.
2. Make me better, yes, at the price of taking more medications initially.
3. Keep me better, preferably on as little medication as possible, for the long-term. Some medications may be necessary to prevent attacks.
Go Green: Conserve and Recycle
A reminder from ADAC's Green Team Chairperson (NK). Thank you!
Other useful websites
New patient information
If you want to become a private patient of Dr. Kao, please click on this link for information http://www.allergicdisease.com/.
Do you want to participate in clinical research studies?
Here's a list of studies that I am working on http://kaoallergyasthma.blogspot.com/2008/10/ongoing-studies-for-which-we-are.html. If you would like to learn more, please call 864-627-3800 extension 221 for Mandy or click on this link: http://www.allergicdisease.com/research.htm
Note: I have completed the CITI Collaborative Institutional Training Initiative (CITI) Biomedical Course in the Responsible Conduct of Research Curriculum.
Note: I have completed the CITI Collaborative Institutional Training Initiative (CITI) Biomedical Course in the Responsible Conduct of Research Curriculum.
Posts
Website goals and disclaimer
1. The mission of this website is to help people understand allergic diseases and so to help them be better managed.
2. I have written all content on this site unless noted otherwise.
3. Information on my site is meant to complement and not replace any advice or information from your health care professional.
4. My Privacy policy forbids disclosure of patient's personal information without their prior approval.
5. I am fully in charge of this blog and I receive no other funding than from amazon ads.
6. There are amazon ads on my blog, that they are distinguished by the terms "amazon ads". I do not control their content and that these ads do not influence my content.
2. I have written all content on this site unless noted otherwise.
3. Information on my site is meant to complement and not replace any advice or information from your health care professional.
4. My Privacy policy forbids disclosure of patient's personal information without their prior approval.
5. I am fully in charge of this blog and I receive no other funding than from amazon ads.
6. There are amazon ads on my blog, that they are distinguished by the terms "amazon ads". I do not control their content and that these ads do not influence my content.
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