Lotuscenter

Lotus Center for Integrative Medicine

An Acupuncture Corporation

Category: Wendy’s Recipes

Colorful vegetable medley

This month my entire office staff is attempting a detox, including myself. Although I already conscientiously do this, I have been making more of an effort to eat as many colorful vegetables as possible. Here is a dish I made recently with veggies from the farmers market. Please keep in mind that I have blogged […]

Homemade chocolate treats

I had to coerce a patient into sharing this recipe. It’s genius: You can satiate your chocolate craving without substantially increasing your blood sugar while moving your bowels! I’ve modified it a wee bit but I’ve maintained the essence of her creation…   1 oz baker’s chocolate, cut into chunks (please see blog on which […]

Poached Chicken

Poaching is a great way to prepare chicken since the nutritional value is preserved well and the Chinese medicine qualities are nourishing, as opposed to roasting or baking (which are drying). It’s really easy as well. Put a few of the following ingredients (celery, carrot, onion, green onion, leek, shiitake mushroom, fennel, peppercorns, parsley, thyme, […]

Tasty salad recipe

Brandon insists this is the best salad he’s ever had. It was pretty darn good, I must say. I had to resolve some leftover phlegm from my episode of sore throat/laryngitis last week so I wanted to eat radishes. I was trying to figure out what to do with them but I didn’t feel like […]

Spelt scones

Years ago I wanted to have an afternoon tea-themed bridal shower for my sister so I tried about 5 different scone recipes and all of them were just awful. Even my idol Martha Stewart had a crappy scone recipe. They all turned out like small hard blocks that you could throw at someone to knock […]

Wheat-free orange almond cake

This amazing recipe was shared by one of our dear patients who took a class with Hip Cooks and it’s the perfect recipe for those who want a little bit of sweet and are avoiding wheat (like me). As usual, I’ve modified it a little bit because I don’t like much sugar in my baked […]

Got candida?

If you’ve been told that you have intestinal dysbiosis, candidiasis or excessive amounts of yeast in your system, make some of this tasty pesto and eat a few tablespoons every day. It tastes great on top of steamed vegetables, poultry, etc. Do not cook this mixture!   1-2 cloves fresh garlic 1 bunch of fresh […]

Juicing recipes

At ECCM, we’re big fans of juicing. I know some of you are pretty good about getting your 5-9 servings of fruits and vegetables per day but most of you aren’t. Juicing provides a highly concentrated form of vitamins and minerals that are easily absorbed and gives the gut a break from digesting solid food, […]

Rocky Canyon Grassfed Short Ribs

I had a break (for once) one day this week and was able to come home and actually prepare dinner for that night. I had defrosted some Rocky Canyon grassfed short ribs the night before and knew that I wouldn’t want to cook when I got home at 9:30 pm. So this is what I […]

Assisted Reproductive Technology (IVF and IUI)

For almost 40 years now ART (Assisted Reproductive Technology) has been available in the United States. While the technology can be a game-changer for many couples, it’s incomplete. According to the most recent SART reports (from the CDC), the best ART outcomes (using In-Vitro Fertilization or “IVF”) have a success rate below 50%. Why is that? Why can you take a perfect embryo, transfer it into a perfect uterus and still end up without a pregnancy?

The reason is that reproduction isn’t the act of an embryo meeting a uterus. That is only one step in a complex process that involves every biological system in the body. Because of this, it is impossible to control it through external processes.

Consequently, the way to maximize one’s chances of ART success (such as IVF) is, perhaps paradoxically, not to focus on the reproductive system. What we need to do is make sure the orchestra of physiological systems within the body is operating harmoniously. But how do we do that? This is where Chinese medicine comes in.

Chinese medicine has developed complex diagnostic and treatment systems to identify where an imbalance is coming from and to either help eliminate it, or help the body address the imbalance to restore reproductive physiology. Because we look at the whole body, we’re able to complement IVF by addressing the portions of IVF that are not controlled by medication such as implantation and subsequent fetal development.

At the Lotus Center, we have a division that specializes in reproductive medicine and obstetrics, and has been helping IVF patients get pregnant and deliver healthy babies for over 20 years. Our acupuncturists are internationally recognized authorities both in Chinese reproductive medicine and in Functional medicine: having multiple peer-reviewed publications, including authoring the reproductive medicine chapter in one of the most highly regarded medical textbooks on Functional Medicine.

Natural Conception

Reproduction is a biological imperative and our bodies have evolved to survive and reproduce. As a result, the successful treatment of reproductive issues often has more to do with removing impediments to reproduction than directly facilitating conception.

This can be seen, for example, by the fact that the average in-vitro fertilization success rate is less than 50%, even in women under 35 years old. By the time a woman is 41, the success rate has dropped to less than 8%. IVF places a viable embryo into a presumably viable uterus and even with that degree of facilitation it fails the majority of the time. This is because most cases of infertility come from impediments that have not been identified and/or addressed. So where do these impediments come from? There are many including structural, physiological, energetic and emotional causes (for a much more extensive and technical discussion, please see the reproductive chapter we wrote for a medical textbook).

In our clinic, the first step in identifying impediments is conducting a thorough evaluation which includes both a history and physical examination. In a typical case, during the initial consultation we are able to identify the issues that are most likely impeding conception or the ability to maintain a pregnancy. Depending on the findings, we may recommend following up with specific labs. For a complete assessment, we recommend some basic imaging studies as well, in order to rule out tubal blockage or other factors that would make natural conception physically challenging.

For natural conception (or really for any type of fertility treatment) it is also important to assess the health of the male. Male-factor is known to contribute to 50% of infertility cases, yet men are often de-emphasized. If the semen parameters look adequate, then nothing is done other than a standardized vitamin/supplement prescription. This is a mistake. Men’s overall health and habits can have profound effects on a pregnancy. For example, while genetically abnormal embryos are usually blamed on poor egg quality, they are in fact mostly due to paternal factors, the biggest one being paternal age. But why does age do this? It’s because of damage accumulation which can be due to a wide variety of modifiable factors. Yet these don’t show up in a normal semen analysis. Paternal habits can also affect fertility and pregnancy. For example, alcohol consumption in men increases miscarriage rates in their partners. There are many other reasons why men should be just as involved in the fertility journey as women. The difference is once the woman is pregnant, male habits (other than being a source of stress for a spouse) tend to have minimal impact.

While the first phase of treatments is to remove impediments, once these are significantly dealt with, we then turn to actively facilitating conception. This involves protecting and rejuvenating the ovaries, optimizing reproductive blood flow and working on a variety of “anti-aging” techniques to both preserve and optimize fertility.

Pre-Conception

Approaching pregnancy is conceptually no different than approaching any other major life event. If you want to maximize your chances for a good outcome, then preparation is essential. But what does preparation mean in the context of pregnancy? In Chinese medicine, we divide pregnancy preparation into 3 major categories: preparation of the body, preparation of the mind/spirit and preparation of the environment.

Preparation of the body involves first identifying where your strengths and weaknesses are. People are often hyper-focused on the reproductive system, but this is a wrong understanding of physiology. Of course part of preparation includes an evaluation of the reproductive system, but you need to evaluate all of the systems in the body. Chinese medicine has evolved diagnostic techniques that, when mastered, enable a doctor to quickly hone in on problematic areas. Labs and imaging are complementary, and can be useful, but are not an adequate substitute for a skilled Chinese medicine diagnostician. We have seen this over and over: patients with piles of labs and imaging that weren’t able to identify the real problems.

Once any issues have been identified, of course they need to be corrected. Some issues can correct immediately and others take time. For example, certain kinds of oocyte (egg) quality issues can take over a year to improve, whereas other kinds can be corrected within a few weeks. Some issues are persistent and are difficult to completely cure, but can be controlled with regular treatments. Some examples include severe endometriosis, adenomyosis and certain reproductive infections. But the reproductive system itself is often not the most important part of preparation, rather it’s identifying problems in other organs or systems, since ALL of them are involved in reproduction.

The second area is to prepare the mind/spirit. The subconscious is real and can have profound and tangible influences on your life as a whole, let alone your ability to reproduce. There are many ways to work with your subconscious, but in preparation for having children, we have found many people have subconscious blocks with having children. For example, some people paradoxically are not ok with the idea of being a parent, or being pregnant. They may have deeper fears of body image or fear of loss. Some people who have had abortions in the past feel guilt and that they deserve to be infertile. There are a wide variety of problems that we may or may not realize we have, and if your subconscious doesn’t want you to be pregnant, it has a wide variety of tools at its disposal to keep that from happening.

Finally, preparing the environment is essential. This in Chinese medicine is referred to as “feng shui” which is the art of how energy flows. But energy flow isn’t just about taking a compass and putting a statue of a turtle in the corner of your house, it’s about identifying things that disrupt a good flow of energy which can include many types of things in your environment; be it noise pollution, air pollution, EMF pollution … or even people around you that exude a lot of negativity, including spouses! While we don’t have to resolve everything, creating a safe and comfortable environment can greatly promote fertility and proper fetal development.

Keep in mind that perfection is not required, but over the last 20 years we have seen these factors play decisive roles in couples who had not been able to conceive prior to making these changes.

Stephanie Singleton

Stephanie Singleton, LMT comes to LCIM with over 15 years experience as a licensed massage therapist. She treats a wide range of conditions from stress induced symptoms, to sports injuries, to pregnancy discomforts. She has specialized training in both fertility massage and pregnancy/prenatal massage and incorporates many techniques.

“She has an excellent touch and also has a great sense of when to talk and when not to talk, her massages feel great, and her personality allows me the space to de-stress” – Pamela T.

“Stephanie has that uncanny ability to have just the right pressure in just the right places… she’s a keeper.” – Joan R.

“Stephanie is the first person I’ve been impressed enough with to see weekly. I come in on Tuesdays and it gives me something to look forward to at the beginning of every week… the only bad thing is that I’ve become a massage snob and can’t enjoy mediocre massages anymore ;-)” – Adam H.

Anne Albrecht

Anne Albrecht, MSOM, LAc Anne received her bachelor’s degree in anthropology from the University of Colorado in Boulder and her master’s degree in Chinese medicine from Yo San University. She then began working as an acupuncturist and herbalist within a family medicine practice and found that she especially liked working with kids. Anne then began extensive training in pediatrics, studying under some of the top pediatric acupuncturists in the country. Since the birth of her son, Anne has focused her practice on working exclusively with children.

In addition to pediatrics, Anne is extremely knowledgable about organic gardening and teaches classes on growing medicinal herbs and creating natural, medicinal skin care products for kids. When not at work, Anne can be found camping, chasing her son and dog around and working in her garden.

Steve Gomberg

Steve Gomberg, LAc, MTOM, CCN, RH (AHG) is a practicing herbalist, acupuncturist and clinical nutritionist specializing in oncology (cancer) and internal medicine. A proponent of a multi-disciplinary approach to healing, he works closely with MDs and other health care practitioners, to maximize the potential for successful healing.

Steve comes to the practice of Chinese Medicine with a unique background and perspective. Having been a world-class chef at a fine French restaurant in Brentwood for fifteen years, he developed an uncanny interest in the medicinal properties of various foods. He began using this knowledge in his cooking, but his interest began reaching beyond the culinary realm and into the realm of herbal medicine. After many years as a chef, he left the restaurant business to pursue his interest in medicine.

Steve is a clinical nutritionist certified by the Clinical Nutrition Certification Board and is registered as a practitioner of botanical medicine by the American Herbalists Guild. He is also a full professor at Alhambra Medical University where he teaches a wide variety of courses on Chinese medicine.

Steve is a recognized authority in Functional Medicine and authored a chapter entitled The Microenvironment of Chronic Disease in one of the top Functional Medicine textbooks (Springer Publications). He has been featured in Body and Soul Magazine and coauthored an article in a peer reviewed medical journal on the use of herbal medicine in the treatment and management of breast cancer. Steve is also listed as a resource for cancer expertise in Suzanne Somers’ book Knockout: Interviews with Doctors Who Are Curing Cancer — And How to Prevent Getting It in the First Place Paperback.

An ordained Buddhist monk in the Tibetan Tradition, Steve spends much of his spare time assisting others achieve fulfillment and happiness in their lives.

Irina Nikonova

Irina Nikonova, MS, LAc joined the Lotus Center after having worked at the Eastern Center for Complementary Medicine for over 10 years. Initially, Irina pursued an advanced degree in biochemistry. However, after years of working in both a research and clinical setting with Shinobu Kaneko, MD and Brandon Horn, PhD, she discovered her interests lie more in applying her research clinically, rather than spending years on a single project that may or may not ever make it into clinical practice. Under the advice of both Dr. Kaneko and Dr. Horn, Irina changed her career path and decided to pursue Chinese medicine.

While practicing general medicine, Irina has a special interest in pediatrics and gastrointestinal problems. When not seeing patients, she enjoys hiking, playing with her toddler, relaxing with family and friends or reading a good book (typically something involving the gut microbiome).

Airi Watanabe

Airi Watanabe, MTOM, LAc, NCCAOM is a specialist in acupuncture and herbal medicine with a background in sports medicine. She received her bachelor’s degree in Exercise and Sport Science from Concordia University Irvine and her master’s degree in Traditional Oriental Medicine from Emperor’s College. She has extensive training in orthopedics. Before starting her journey in traditional oriental medicine, Airi worked as a sports trainer, touring with various famous bands in Japan. She is also a certified pilates instructor and is primarily interested in pain management and treating mobility disorders.

Being born and raised in Japan, Airi is bilingual in English and Japanese, and is part of the research team at the Lotus Center, translating articles on Japanese traditional medicine. When not seeing patients or researching, she enjoys watching anime and movies, bouldering, running and going to Japanese grocery stores.

幼少期よりダンスやスポーツに触れ、スポーツ医学に興味を持つ。日本で高校卒業後、アメリカに留学し、アーバインコンコーディア大学にてエクササイズ/スポーツサイエンス学部を卒業。日本に帰国し、アーティストグループのトレーナーとして働くかたわら、ピラティスインストラクターの資格を取得。またトレーナーとして様々な施術をするうちに、東洋医学に興味を持つようになり、アメリカにて東洋医学修士号（MTOM）を経て、カリフォルニア州鍼灸師免許（LAc）、米国東洋医学認定鍼灸師免許（NCCAOM）の資格を取得。LCIMでは鍼灸、およびハーブ（漢方）を用いて、身体の痛み、および運動障害を中心に、様々な治療を施す鍼灸師として活躍中。また、日本で独自に発展した漢方を中心とした東洋医学の文献を翻訳し、LCIMの鍼灸師たちの治療に取り入れるためのサポートをする。趣味はアニメや映画鑑賞、ボルダリング、ランニングやウォーキング。

Rena Haley

Rena Haley, MSOM, LAc comes to LCIM with extensive training in acupuncture, herbal medicine, nutrition and homeopathy. She received her bachelor’s degree in Holistic Health from the American University of Complementary Medicine and her Master of Science degree in Oriental Medicine from Samra University. Upon receiving her master’s degree, Rena did 2 additional years of post graduate training with some of the top doctors in the fields of infertility and reproductive medicine. She has also studied extensively with Jeffrey Yuen and Kiiko Matsumoto.

Rena passed the Chinese reproductive medicine board exams and has extensive experience treating couples with reproductive issues. She has also performed acupuncture at hundreds of embryo transfers throughout Los Angeles. Along with fertility and reproductive medicine, Rena has special interests in fibromyalgia and chronic fatigue syndrome. She is a former professor of Chinese medicine at Alhambra Medical University where she taught Chinese Herbology to graduate students. When not seeing patients, Rena frequents her local farmer’s market and conducts culinary experiments for which her friends (and coworkers) are grateful.

Wendy Yu

Dr. Wendy Yu, DTCM, LAc, is an internationally recognized clinician, researcher, and lecturer in the fields of acupuncture, herbal medicine, and functional medicine. She earned her Bachelor of Science in Physiology from Rutgers University and completed her Doctorate in Traditional Chinese Medicine at Five Branches University, receiving comprehensive training in both acupuncture and herbal medicine. With over 25 years of clinical experience, Dr. Yu was a founding board member of the American Board of Oriental Reproductive Medicine and has remained at the forefront of integrative reproductive care.

Specializing in gynecology and reproductive medicine, Dr. Yu has a particular interest in the epigenetic influences on fetal and childhood development. She is widely regarded as an authority in the field and is a coauthor of the reproductive health chapter in Integrative and Functional Medical Nutrition Therapy (Springer), one of the leading textbooks in functional medicine. Her work has been published in peer-reviewed journals such as Fertility & Sterility, Alternative Therapies in Women’s Health, and Evidence-Based Complementary and Alternative Medicine, and she lectures nationally and internationally on the treatment of infertility and gynecological disorders.

Dr. Yu was the first acupuncturist to receive hospital privileges at Children’s Hospital Los Angeles (CHLA), where she was asked to lead the pediatric acupuncture program in the Department of Anesthesiology and Critical Care Medicine. She also served as a clinical professor at Yo San University, where she helped establish an externship program in partnership with CHLA, further integrating traditional medicine into mainstream clinical settings. Outside of her professional life, Dr. Yu enjoys spending time with her children, exploring farmers markets, researching sustainable and local food sources, cooking, composting, gardening, and capturing moments through photography.

Dr. Brandon Horn

Dr. Brandon Horn, PhD, JD, DTCM, LAc is an internationally recognized clinician and researcher specializing in Chinese medicine, Functional Medicine, and integrative reproductive care. With over 25 years of clinical and research experience, he combines traditional and modern medical approaches to support complex cases, especially in women’s health, autoimmune disorders, and post-viral conditions such as long COVID and post-herpetic syndromes.

Dr. Horn has coauthored a leading Functional Medicine textbook and published in journals such as Fertility & Sterility, Evidence-Based Complementary and Alternative Medicine, and the Journal of Chinese Medicine. In addition, he has lectured at top institutions including Columbia University, UCLA, USC (Grand Rounds), and Children's Hospital of Los Angeles (Grand Rounds), where he spent nearly a decade focusing primarily on autoimmune disorders in the rheumatology department. He was also on faculty at UCLA’s David Geffen School of Medicine, where he taught for eight years.

He is also a cofounder of the American Board of Oriental Reproductive Medicine. In private practice, Dr. Horn sees patients in Los Angeles and provides remote consultations for those unable to travel. Outside of work, he enjoys time with his kids, tinkering with electronics, hiking, and reading.

To schedule an appointment with Dr. Horn, click here.

Massage

When most people think of massage, they think of it as something they do as a treat for themselves or for fun. While it can be a relaxing treat, massage can also be a very powerful healing modality if it is done appropriately.

In the proper hands, massage can be particularly useful to improve immunity, stimulate detoxification, move lymph, improve adrenal function, improve memory, enhance fertility, reduce pregnancy-related symptoms and improve fetal blood flow.

Nutrition

Sound nutritional practices provide the foundation for optimal health and longevity and are a crucial component in the eradication of many diseases. Unfortunately, few medical practitioners recognize or emphasize its importance. At LCIM we take nutrition very seriously and our certified nutritionists provide a wide range of services that are customized to your needs.

Our nutritional assessments involve a combination of both ancient Chinese dietary principles and modern research. Our nutritionists have a very thorough understanding not only of dietary requirements, but of issues with the sourcing and labeling of foods as well. This can be just as important as knowing what to eat.

Herbal Medicine

Herbal Medicine has an incredible biochemical diversity and modern research has shown that herbs can have very powerful beneficial effects for many disease processes. This is not a surprise to Chinese medicine, which has used herbs for thousands of years to treat almost every ailment that afflicts humans, from epidemics to the common cold, to internal diseases like cardiovascular disease, gynecological conditions, cancers, autoimmune diseases and many more. In fact, many pharmaceuticals are derived from herbs and pharmaceutical companies are constantly studying herbs in their search for new drugs.

The safety and efficacy of herbs depends largely on two things. The first is that herbal sources must be of exceptional quality. They need proper identification and they need to be checked for heavy metals, pesticides, microbes and other contaminants. The second is that they should be prescribed by an appropriately trained herbalist. The Lotus Center uses pharmaceutical grade herbs that have been appropriately tested. All of our acupuncturists have extensive training in herbal medicine and are licensed by the State of California to prescribe it.

To learn more about how we prescribe herbs, here’s an informative video regarding how we determine the best herbal approach for upper respiratory infections such as colds, flu or covid.

Acupuncture

Acupuncture is one of the most ancient and effective healing modalities and has been used for well over 4,000 years to successfully treat a wide variety of conditions. Clinical trials have shown acupuncture’s ability to affect a range of systems in the body including the nervous, cardiovascular, reproductive, endocrine, immune, detoxification, respiratory and digestive systems. In fact, there are over 35,000 peer reviewed journal publications listed on the National Institutes of Health’s website.

There are many different styles of acupuncture. Our clinic utilizes styles that produce very quick results (usually instantaneous). While noticeable improvements typically happen rapidly for pain conditions, it usually takes between 4-12 treatments to correct these problems. More serious conditions may require more treatments. Some examples include: autoimmune conditions (such as lupus and rheumatoid arthritis), infertility, and other internal medicine diseases (such as fibromyalgia, chronic fatigue syndrome, cardiovascular disease, dermatological diseases, etc.).

Rheumatology

Chinese medicine has a long history treating Rheumatological conditions. Many of these conditions have the potential to be devastating. Our practitioners have extensive experience working as an integrative team to manage the long term care of those suffering from autoimmune conditions. In particular, acupuncture and herbal medicine can often dramatically help to stabilize flare ups and to help reduce or eliminate dependence on pharmaceuticals. It can also be a very effective prevention tool.

Two of our practitioners spent several years working alongside some of the top pediatric rheumatologists in the country and witnessed how incredibly effective integrative care can be with very serious autoimmune conditions. At our clinic, we expect to see noticeable changes within 1-3 treatments.

Women's Health

LCIM is one of the leading centers in the treatment of women’s health. Several of our practitioners are internationally recognized experts in the field, and have a variety of peer reviewed publications on topics such as infertility, urinary tract infections, breast cancer, cervical cancer, dysmenorrhea and HPV.

A list of citations can be found in our publication section. In addition, the Lotus Center has developed programs for both the prevention and treatment of many obstetric and gynecological disorders including:

  • PMS control (mood swings, swelling, breast tenderness, headaches, pelvic pain, abdominal pain, back pain)
  • Female cancer risk reduction (breast cancer, ovarian cancer, cervical cancer, uterine cancer)
  • Perimenopause/menopause (hot flashes, vaginal dryness, low libido, insomnia, mood swings, fatigue)
  • Infections (urinary tract, HPV, herpes, other STD’s)
  • Pelvic Pain (Pelvic inflammatory disease (PID), interstitial cystitis, dysmenorrhea (painful periods), adhesions, endometriosis
  • Menstrual diseases such as amenorrhea (lack of period) or menorrhagia (heavy bleeding)
  • Ovarian cysts
  • Polycystic Ovary Syndrome (PCOS)
  • Infertility, including preconception, natural pregnancy, assisted reproduction support including IUI (insemination), and IVF (in-vitro fertilization)
  • Pregnancy (morning sickness, pain, threatened miscarriages, gestational diabetes, recurrent pregnancy loss)
  • Postpartum care (depression, insufficient lactation, surgical recovery)

These programs are designed to be seamlessly integrated into any care you may already be receiving from your OB/GYN or PCP.

General Medicine

Chinese medicine was the only medicine that existed in China for thousands of years. It has been developed by hundreds of generations of doctors that included some of the most brilliant minds in the history of the world. As such, Chinese medicine developed disease theories and techniques that effectively treated a wide range of conditions from infectious diseases, to dermatology, cardiology, rheumatology, obstetrics and gynecology and the list goes on.

This is not to imply that it is somehow “better” than or a substitute for Western medicine. Western medicine is excellent to treat a variety of serious conditions, particularly acute conditions. However, there are many chronic conditions where the treatment with Chinese medicine alone or in conjunction with Western medicine produces far superior results.
Some examples include:

  • Colds / flu’s
  • Asthma
  • Pain conditions such as arthritis, fibromyalgia, Migraines and injuries (including post-op complications)
  • Rheumatological diseases such as lupus and rheumatoid arthritis
  • Neurological diseases such as Stroke, vertigo and multiple sclerosis
  • Obstetrical (pregnancy) diseases such as morning sickness, pain, threatened miscarriages, gestational diabetes, recurrent pregnancy loss and insufficient lactation
  • Gynecological diseases such as cervical dysplasia, breast lumps, cysts, polyps, pelvic pain, PMS, amenorrhea, painful periods and abnormal bleeding
  • Fertility related conditions such as PCOS, unexplained infertility, poor ovarian reserve, implantation failure and poor sperm or egg quality
  • Dermatological conditions such as acne, psoriasis and eczema, and
  • Insomnia

We have worked in Western medicine clinical settings for many years and are conversant in both Western and Chinese medicine. We have seen the strengths and weaknesses in each medicine and we use this knowledge to get the best possible outcomes for our patients.

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