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To extract the maximum benefits from this cheap wonder drug, it should be combined with a programme of behavioural treatment and nutritional counseling designed to help us make long-term changes in our diet and physical activity. As the authors acknowledge, this paper was an initial description of a clinical association and not an epidemiologic study or even a case-control study. Therefore, the study does not address the issue of incidence or prevalence of valvulopathy.
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