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Fosamax - Osteonecrosis connection broken leg clipart

Health Alert!!!!

Worried about osteoporosis and possible broken bones? Taking Fosamax? Heard about the dangerous side effect of osteonecrosis ("rotting bone")? Here's the full story of the connection between Fosamax and Osteonecrosis (pdf) and a similar newsletter article (pdf)

Articles and Publications

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Processed People - a documentary

View Processed People trailer
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How food and information are processed today
Dr. Rick's Winter 2013 postcard

See our Winter 2013 News and Specials from Dr. Rick and Cascade Wellness Clinic

Articles of Interest

The Flu "Season"

Flu facts that may run contrary to what you have been told!

Tips for avoiding the Cold and Flu

Information and tips to avoid getting sick this season and beyond.

Key Insights for Lifelong Weight Control

Practical tips on keeping the pounds off for lifelong heath.

These Days, Fitness is Defined by Each Individual, The Sunday Oregonian, Health, Fitness & Beauty, February 8, 1998, pages 2-3.

An article describing the new definition of the old concept 'fitness.'

The Magic Touch (RaceCenter Northwest, September/October, 1995, page 41)

Everyone knows massage feels good, but did you know it can rev you up before an event and greatly assist your recovery afterwards?

Cascade Wellness Clinic A Partnership Between Patient and Doctor

Review of Cascade Wellness Clinic in In Balance Magazine, Spring 1995.

Healthy Living Newsletter

Fall 2001

* National Spinal Month: October * Myra Perala Stands Tall! *Local Woman Competes in Ironman * Clinic Redecoration * Free Wellness Workshops and Special Events * Time For a Chiropractic Checkup? Take our Quiz... * Resource Center: Power Golf Training Manual and Video

Summer 2001

* Computerized Postural and Neuromuscular Screening *Chiropractic Saves Mom's Visit to Oregon (Patricia Harkness) * Free Wellness Workshops and Special Events * Fit for Life book review from Dr. Rick's Resource Center.

Spring 2001

*Be Headache Free * Kids Day America * Wondering about the potential side-effects of your prescription drugs? * Don't Drop the Baby! * Weekly Wellness Class Schedule.

Winter 2001

*Sitting Right from the Start: Good Computer Ergonomics for Children * Get Back into Shape After the Holidays: Why Exercise is important in the Winter * Weekly Wellness Class Schedule

Fall 2000

* Chiropractic Care for Kids * The Santo's - A Healthy Chiropractic Family * Ritalin and Prozac for Toddlers??? * Lots of Antibiotics, Little Success * Bicycle Helmet Safety: Wear a Lid-Save a Kid * Children, TV and Back Pain * When Should a Child See a Chiropractor? * Weekly Wellness Class Schedule

Spring 2000

* Healthy Lifestyle Tips by guest columnist Malea * Backpack Safety Now Pays Lifelong Dividends * Barbara Larrain, longtime wellness patient in Cycle Oregon * Dr. Rick's Resource Center: Mad Cowboy * Chiropractic Care for Kids * May is Correct Posture Month * Free Wellness Workshops Every Thursday.

Winter 2000

* Beyond Relief of Pain * Dr. Rick's Resource Center: Giving Your Brain a Boost * Injured and Lost in the Maze of Insurance by guest columnist Peter Mozena, Attorney at Law * Make it a Healthy New Year * Lost in Space * Wellness Workshops New and Improved.

Holiday 1999/2000

* Correct Your Posture with Chiropractic Biophysics: No more Headaches * Relaxation Breathing helps Erin Cason * Back to the Future book * EarthSave charity * Shoulder Injuries by guest columnist John Hartman * Oriental Medicine by guest columnist Marnie Freeman * Indonesian Rice Salad recipe/Photo of Mary Lou Griffith enjoying sample * Dr. Rick's Resource Center.

August/September 1999

* Conservative Treatment of Shoulder Injuries by guest columnist Paul Puziss, M.D. * Matthew Miller's Posture * Injury Care to Wellness Care: Erin Cason's Shoulder * Health Tip: Keep Well Hydrated... Drink Up! * Don't Forget Dr. Rick's Resource Center * Wellness Care Options.

June/July 1999

* Safe Sport * The Psoas * "Changed Life": Layne Barlow * Psoas Case Studies: Chad Bartness and Judy Rush * Health Tip: Stretch Break * New Equipment: Regainer Table featuring Matthew Miller * Dr. Rick's Resource Center: "What Dr. Frankenstein Forgot" * Wellness Classes * Wellness Card * Survey Results.

Fall 1998

* Treating Carpal Tunnel Without Drugs or Surgery * Why Wellness Care? (First in a series) * Lisa Santo and family * and Dr. Rick Leads Team Treating Nike World Masters' Swimmers.

Spring 1998

* Nutrients First * More affordable wellness care * Nutritional Tidbits * Dr. Rick in the News.

Fall 1997

* Healthy Spine * Exercise Benefits * Stress Busters.

Instep Dance Magazine Articles Archive

Not just for dancers! Reprints of monthly column as first appearing in Instep Dance Magazine. Now out of print (2005).

Article Archives:

Dance to Lose Weight
The Better Life Institute (BLI), whom I greatly respect, provided this insight into weight loss programs in a recent newsletter. Pass this information on to those whom you know are trying to shape up and shed pounds. Hope you have better health and can dance for years to come.

Weight Loss Programs
If there's a topic everyone seems to have an opinion about, it's which diet to follow to lose weight. This isn't just water-cooler and talk-show discussions--healthcare professionals debate it all the time, especially when a new study demonstrates the benefits of one program over another. Researchers presented the results of a study on four popular weight loss programs at the recent American Heart Association national convention.

Exercise for Brain Power
One of the greatest fears people over 60 have is the fear of losing their memories and mental abilities. All of us think about being able to function well mentally as we get older; it just seems more relevant the closer we are to 60 or so. In addition to a diet and supplementation program necessary for sustaining mental abilities, recent research has shown that exercise may be more important than ever to maintain brain power.

Calling All Dogs
It's time to help your owner lose weight and get fit. You've known for a long time that a dog is the best exercise equipment a human can buy. Now it's time to prove it.

Stretching Before and After Dance
Would you like to avoid that tired, achy feeling you may have experienced 24 to 48 hours after vigorous exercise? Here are four simple suggestions that can help you instead feel great the day after any athletic activity, including dancing.

Pigeon Toes
Michelle Uttke, owner of Fancy Feet Grand Ballroom in Oregon City, tells me that she sees a lot of dancers with internal rotation of the feet, or, more simply stated, pigeon toes. Interestingly, she observed that this occurs more frequently when the dancer is unsteady, perhaps when learning a new step. We look at the causes and treatment.

Bunions and Hallux Valgus
This month's article was inspired by a patient suffering from a condition called Hallux Valgus and bunions. A bunion is a painful swelling of the soft tissue and bone enlargement on the inner side of the ball of the great toe. Initially, there is partial dislocation outward of the great toe (hallux valgus), which makes the head of the metatarsal bone prominent. This article explores causes and treatment options.

Groin Pulls
Let's continue exploring injuries that may occur when dancing, especially with athletic dance sport. There is a good explanation of groin pull injuries in Conquering Athletic Injuries, from which this material is drawn.

Subluxated Cuboid Bone
This month, let's return to foot injuries and look at the subluxated cuboid bone, which may occur when dancing. Subluxated cuboid syndrome is an uncommon problem but once recognized, responds well to appropriate treatment.

Big "Fat" Lie?
The latest item making the circuit is the diet debate--high carbohydrate versus high fat. Everyone seems to be praising fat and knocking carbohydrates. The growing consensus among those interviewed in a recent article in the New York Times was that maybe health experts were wrong to promote a high-carbohydrate diet 20-30 years ago, and that a high-fat, high-protein diet might be better. Let's try to put some perspective on this topic--certainly not to resolve it, but to talk some common sense.

Building Healthy Joints with Glucosamine and Chondroitin Supplementation: FAQs
One of the most reliable sources of information on nutrition and health that I have found is the Better Life Institute (BLI). I turn to BLI quite often for common sense reviews of complex topics. Here is a current BLI review and answers to the frequently asked questions (FAQs) on a hot topic in nutrition and health.

Reduced Pain and Faster Healing with Enzyme/Herbal Therapy--Part 2 – Treatment of Athletes
While I am on vacation, chiropractic doctor Anthony Cichoke continues to give an excellent overview of enzyme therapy, specifically for athletes, which, of course, includes dancers.

Reduced Pain and Faster Healing with Enzyme/Herbal Therapy--Part 1 - Overview
To effectively use enzyme/herbal therapy, we first must understand the process of inflammation, then understand the overall therapeutic mechanism, and, finally, review the specific enzymes, herbs and co-factors that make this therapy so beneficial. Chiropractic doctor Anthony Cichoke gives an excellent overview.

Healing Twisted Ankles Faster and Better
Using Infra-red light technology--Photonic Stimulation-- (developed by NASA), healing of soft tissues can occur at an accelerated rate.

Applying Better Balance to Dance
Tips and photos of good and bad examples of properly balanced Tango Turns and Gonchos.

Developing Better Balance
Five Exercises with photos to help you develop better balance.

Staying in Balance
Explains how we maintain our equilibrium or, simply stated, how we stay in balance, with pointers for developing better balance and applying it to dancing.

Ouch! My Shoulder and/or Arm Hurts -- Painful Trigger Points
A trigger point is a hyperirritable spot located within a taut band of skeletal muscle or its fascia that hurts when pressed and has distinctive patterns of referred pain. Read about causes and treatments.

Power Posture Exercises That Work!
Being that January is a time for setting goals for the New Year, how about setting a 3-month goal to improve your posture? In particular, let's improve the most common posture problem, Forward Head Posture (FHP). I bet over 90% of you have FHP to the extent that it effectively doubles or triples the stress on your upper back. I say this with confidence from over ten years in chiropractic practice and, more recently, from performing over 100 posture analyses this past year with the computerized BioPrint and Posture Pro systems.

Posture Revisited: High-Tech Assessment
Last month, I showed you the simple, low-tech method of assessing posture. While that has definite advantages in the classroom, at home, at an athletic event or health fair, in my office I use a much more scientific, high-tech method: computerized postural analysis.

Posture Revisited: Low-Tech Assessment
Good posture is a key component of good health. We all want it, especially dancers. Our mothers probably nagged us as kids to get it by sitting up straight. Nevertheless, we are probably unaware of how poor it is as an adult. If it is so important, why do over 90% of us tend to slump with forward head posture? Why are we oblivious to it? How can we become aware of it, for that is the first step in correcting it?

Tender Tootsies: Foot Pain in the Elderly Dancer
One of my patients, Ron Nelson, owner of Cary B's dance supply store, tells me that that he knows lots of folks from dancing that have "tender tootsies." Their feet are sometimes so sore that they cannot even dance! What's the problem? What can be done?

Functional Taping for Shin Splints and Leg Cramps
Traditional treatment for shin splints includes correction of any biomechanical errors, choosing the right shoe, correcting training errors, and stretching and strengthening of leg muscles.But there is another treatment that can help, especially in the acute phase for either condition: specialized functional taping.

Foot Supports Revisited: Orthotics for Ladies' High-Heeled Dance Shoes
This month I thought I would pass on another orthotic that I have found works well for the most challenging case: women's high-heeled dance shoes. The challenge is fitting a functional orthotic in a small shoe without it sticking out the side of the shoe.

Western Dance Boots
Learn some tips about what to look for in Western Dance Boots. Includes some online resources.

What Is A Good Latin Dance Shoe?
Learn some tips about what to look for in mens Latin dance shoes.

What Is A Good Lady's Dance Shoe?
Because of the type of shoes ladies wear, they are subject to many more problems than men. It is quite common to see a lady rubbing her feet or changing her shoes during the course of an evening of ballroom dancing because her feet really ACHE! It is especially evident in women's shoes that most of the cost of manufactureing goes into the upper part of the shoe and very little goes into the shoe's foundation.

What is a Good Men's Dance Shoe?
Over 50% of the population has some kind of foot problem by the age of twenty. These include metatarsalgia, plantar fasciitis, hammer toes, and bunions. Improper shoes create many of these problems. Oftentimes, shoe manufacturers focus on style instead of solid construction and proper fit. Frequently, most of the money goes into the upper part of the shoe and very little goes into the shoe's foundation.

Dancer's Fracture of the Foot
Did you know that there is a fracture named for dancers? How special! In 1902, Dr. Jones broke the outside of his foot while dancing. He twisted his ankle so badly that he broke the bone! The name "Jones" or "dancer's" fracture has stuck for all these years!

Shin Splints
Shin splints is a term used to describe pain in the lower leg that often results from participation in various athletic activities, including running and dancing. There are two types of shin splints: anterior and posterior (see illustration). Read about causes and treatments.

Two to Tango - Dan Timmons and Judy Campagna - Part 2
The other half of the tango team, Judy Campagna, came to me last May for treatment of her low back on the recommendation of a mutual friend, our Honda repair specialist. Let's examine her case as a typical one for which chiropractic treatment is just the ticket for good recovery and long-term health.

Two to Tango - Dan Timmons and Judy Campagna - Part 1
Shoulder and neck injuries can severely limit your activities, including dancing. Such was the case for Dan Timmons, a local dancer and dance instructor, specializing in Argentine Tango, who injured his shoulder and neck about five years ago. Fortunately, there is hope in most such cases, even when the injury has been long standing.

Direct Trauma to the Head
Yes, chiropractic care is essential, because when there is a blow to the head there will usually be trauma to the neck as well. As many changes in the body may take place later, it is necessary to look down the road.

The next cause of back and joint pain that we will review is arthritis. Arthritis simply means inflammation in the joints. Since inflammation is usually painful, arthritis is usually painful. Inflammation occurs when the joint is overused or abnormal pressure or stress is put upon it. Arthritis can occur wherever there is a joint in the body.

Shoulders and Ribs Torqued Out of Place
This month, let's relate it specifically to partner dancing and give you some tips to avoid torqueing shoulders and ribs out of place - both yours and your partner's. The tips are a collaboration of ideas from me and my dance instructor, Michelle Uttke.

Scalenus Anticus Syndrome
Another condition that can tie in with the rib subluxations that I described last month is Scalenus Anticus Syndrome.The three scalene muscles that go from the side of the top cervical vertebrae down to the first two ribs. Their function is to flex the head and neck and to assist in breathing, but he scalene muscles are used and overused daily during many movements.

Back Pain - Part 8: Compression Fractures (Ouch!)
This month, I will review an injury that can put you on the ground in pain: compression fractures of the spine. Compression fractures of the spine are the result of a combination of forces created when bending forward and lifting a heavy object.

Back Pain - Part 7: Subluxated Ribs
Let's move on to the next cause of back pain as outlined by Michael Gazdar, D.C., C.C.S.P. in his book, Taking Your Back to the Future: Subluxated Ribs.

Back Pain - Part 6: Facet Syndrome
The vertebral facets are small joints located in the back of each vertebra. They interlock with the vertebrae directly above and below to form a joint that allows for mobility of the spine. The facets are highly innervated and sensitive to pain. When they jam against each other it causes local back pain.

Back Pain - Part 5: Dance Tips for Better Posture
As promised, here are some suggestions for improving dance posture from my instructor, Michelle Uttke.

Back Pain - Part 4: Correcting Poor Posture with Chiropractic BioPhysics (CBP)
Chiropractic BioPhysics (CBP) is kind of like chiropractic orthodontics for the spine....

Back Pain - Part 3: Devestating Effects of Long-Term Poor Posture
Posture defined and explained.

Back Pain - Part 2: Poor Posture
Learn just exactly why mother was right when she said "sit up straight," and learn what you can do now if you didn't listen.

Back Pain - Part 1: Overview
Read about some of the common reasons for back pain and what you can do about it.

Natural Remedies - Part 3: Immune Enhancers
Let's review several herbs have been show to enhance the function of the immune system. They help the body's own natural defenses fend off bacterial and viral attack. If I have been exposed to a cold or the flu virus, I reach for echinacea and goldenseal among others.

Natural Remedies - Part 2: Adaptogens - Herbs for Additional Energy
This month let's briefly review three natural adaptogens - herbs that help the body adapt to stress: Ginseng, Tribulus Terrestris, and Yohimbe. These herbs boost your energy, promote wellness, enhance resistance, and aid in quicker recovery.

Natural Remedies - Part 1: Supplements and Herbs for the Relief of Pain, Swelling and Inflammation
Herbal remedies can often be used as an alternative to over-the-counter (OTC) drugs. They are effective and, in general, have many less side effects than pharmaceuticals. This first column in a series will be about the herbs used to bring down pain, swelling and inflammation.

Shoulder Injuries - Part 3 - Successful Case Studies
Here are two case studies that show the successful conservative treatment of common injuries of the shoulder: rotator cuff tendinitis and subluxation of the upper ribs.

Shoulder Injuries - Part 2 - Injury, Treatment and Prevention
Let's move on to the conservative treatment and prevention of common injuries of the rotator cuff muscles and tendons of the shoulder. These are most commonly caused by chronic overuse, but may also include additional acute trauma. Injuries that require surgical treatment are beyond the scope of this article.

Shoulder Injuries - Part 1 - Functional Anatomy
Although injuries in dancers occur more frequently in the lower extremities, the upper extremities can also be involved in both chronic and acute conditions. This month let's review the functional anatomy of the shoulder.

More Active Isolated Stretches - Gluteal and Hip Region
This month lets add four stretches for muscles of the low back and pelvis that are also keys to good dancing. Dancers need to have freedom in this region to achieve proper Latin motion.

The Psoas - Stretching Revisited
Thank you, Dan Roberts, Certified Muscle Therapist from Reading, Pennsylvania for alerting me to a better way to stretch your muscles, including the psoas. It's called Active Isolated Stretching (AIS). Read about it here.

Exercise: The Best "Drug" in the World
It's been said that we have three ways to rid ourselves of stress: alcohol, drugs or exercise. The first two have obvious detrimental effects. Exercise, on the other hand, has many beneficial effects. Read this month's article to learn more.

The Psoas - Stretching
Let's continue to apply our knowledge to finding solutions for the problem of low back pain caused by malfunction of the psoas. Specifically, after you have enlisted professional help as I described last month, what can you do to help yourself? The answer is to keep the muscles of the low back in balance.

The Psoas - Hidden Influence on Posture
Let's move up to the pelvis and low back. This is an area of the common complaint. While you may feel the pain in your back, the problem often arises in the front of the spine, where the large psoas muscle lies hidden underneath your abdomen.

Orthotics - Giving Your Feet A Lift - Part 3 - Assessment
This month I'll go over the points I check with each patient to determine their postural stability and possible need for foot supports or orthotics. Your doctor will probably perform a similar exam.

Orthotics - Giving Your Feet A Lift - Part 2 - Product Options
A review of the product options we have in the orthotics arena.

Orthotics - Giving Your Feet A Lift - Part 1
Dancing puts a lot of wear and tear on your feet. Problems with the feet may, in turn, play havoc with your knees, hips, low back, and even neck. Orthotics are custom foot supports which are inserted into shoes to correct for posture imbalances and foot problems.

Beneficial Oils to Help Treat and Prevent Osteoarthritis
Let's continue with the natural treatment and prevention of osteoarthritis (OA), wrapping up this month with a look at fats and oils. Of all the fats we consume, only two are essential: linoleic (an omega-6 fatty acid) and alpha-linolenic (an omega-3 fatty acid). Discover the reason's why contemporary diets fall short of complete nutrition and natural ways to treat and prevent osteoarthritis.

Osteoarthritis - Part 2 - Treatment and Prevention
Osteoarthritis is NOT a natural part of aging and is a condition that responds well to natural treatment methods, including chiropractic screening, dietary changes and supplements. Read how regular use of over-the-counter painkillers reduces the body's ability to repair itself.

Osteoarthritis - Part 1
Osteoarthritis is a disorder of the joints that is characterized by a deterioration of the cartilage and the formation of new bone at the joint surfaces. We will look at the disorder and some forms of treatment. Diagrams.

Knee Injuries - Part 3
Let's wrap up traumatic knee injuries with a discussion of injury and repair of the anterior cruciate ligament (ACL). I've also got another real-life story to tell. In fact, it's in progress right now. Diagram.

Knee Injuries - Part 2b - Real Life Trauma
I'm spending more time reviewing injuries to the knee because it is one of the joints dancers most commonly injure. In fact, I interviewed a few of our well-known ballroom dancers who injured their knees within the past few years, and with their permission, I share their mishaps and recovery. Diagrams.

Knee Injuries - Part 2a - Trauma
We continue examine injuries to the knee. Because of its design, the stability of the knee joint depends entirely on soft tissues: muscles, tendons, ligaments, cartilage and a joint capsule, and it can easily be subjected to enough stress in athletic activities, including dancing, to be traumatically injured. Diagrams.

Knee Injuries - Part One - Overuse
This month, let's move up the leg to the knee. This large, hinge-like joint is subjected to a great deal of stress in athletic activities, including dancing, and is frequently injured. This month we'll focus on overuse injuries. Includes diagrams.

Ankle Injuries
Examines two chronic and acute ankle injuries. Chronic injuries result from low-grade overuse and poor biomechanics over long periods of time, such as dancing for hours on end in poor shoes. Acute injuries are the result of sudden trauma, such as falling while doing a lift. Includes diagram.

More Ups and Downs
This month we have the pleasure of hearing from a Portland area dance instructor who is also studying to be a Chiropractor. He has plenty of tips for those lift's and drops.

Ups and Downs
Let's apply the basics of good posture and spinal curves to dancing, specifically lifts and drops.

Healthy Spinal Curves: A Necessity for Sensational Dancing
A bit of background on why spinal curves are important for the health of your nervous system and, consequently, your whole body.

Better Posture...Better Health...Better Dancing
There is more to the importance of the curves of the spine than meets the eye. Let's see how you can improve them and your dancing by getting back to the fundamental, unchanging basics.

Drink Up! Water That Is!
While we enjoy it when the music and dancing is hot, overheating can have serious consequences. Let's examine the importance of water and maintaining proper hydration.

Soles On Fire - Plantar Fasciitis
The constant stretching and overuse common to running sports and, sometimes, dancing causes degeneration and ultimately loss of blood supply to the plantar fascia, a flat tendon which attaches to the heel on the bottom of the foot.
Weary Weekend Warriors
Sore Muscle Treatment and Prevention. In depth on the topic of aching muscles, technically called Delayed Onset Muscle Soreness - DOMS

Pain - The Body's Warning Sign
Ouch! Pain is the body's warning sign. Is it the pain of a cramp? Is it just something that comes with age? Will it go away on its own or should you seek professional help?

Muscle Cramps Cramping Your Style?
You writhe in pain, your calf is tied up in a knot! Call it a charley horse, call it a cramp, call it #!@@#*%. What's going on? What caused it? What can you do right then to stop it? What can you do to prevent a reoccurrence?

The Challenges of Competition
Competition and exhibition can be fun and exhilarating. They also demand our best. That means we face greater challenges for our body and mind.

Dancing into a Ripe Old Age -- Other Health Benefits
There are both physical and mental benefits to dancing. These include physical improvements in posture, strength, balance and agility, and increased social activity with an overall more confident, positive mental attitude

Dancing into a Ripe Old Age -- Preventing Osteoporosis, Part 2
Recommended types of calcium supplements and the other keys to preventing osteoporosis, including exercise and estrogen replacement therapy (and natural alternatives).

Dancing into a Ripe Old Age -- Preventing Osteoporosis, Part 1
Osteoporosis is a concern for us all as we age, especially women. Combined with a fall, the effect can be a fracture that can be devastating, and stop you from dancing. What's the cause? What can you do about it? How can you maintain better bone strength?

Treating The Lopsided Dancer
Your doctor will look for five "red flags" when examining your legs for Leg Length Inequality, or LLI. The decision of how to best treat any case of LLI should be made in cooperation with your health professional.

Are You Lopsided?
More on building a firm foundation - leg length discrepancy and orthotic foot supports.

Becoming Well Grounded
Dealing with Injuries: Bruises, Blisters, Sprains, Tendonitis.

The Graceful Illusion
Body Mechanics and Posture

Dr. Rick Allen is a chiropractor, massage therapist and dance student who is located in Trout Lake Washington. Dr. Rick welcomes your questions and suggestions for future articles. However, he cannot make specific diagnoses or treatment recommendations unless you visit him in person. He can be reached by phone at 509-395-0024 in Trout Lake email or on the World Wide Web: www.CascadeWellnessClinic.com

DISCLAIMER: The information included in this website is meant to encourage thinking concerning choices of care for and insight pertaining to possible causes of various problems. It is not a prescription for or diagnosis of any disease or condition. Suggestions are based on the assumption by the writer that a thorough examination was done previously and the reader is under care by a healthcare professional. This information is not a substitute for a live doctor.

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Cascade Wellness Clinic