In fact, in 2004 the American College of Obstetricians and Gynecologists issued guidelines calling the combination a first-line therapy.
And they expect Quad to become a widely used first-line therapy, since it consists of a single-tablet regimen and lacks neuropsychiatric side effects.
"I'm reasserting that naproxen is a good first-line therapy, " he says.
"It's concerning to us, because we're worried that patients who really aren't experts and read this casually could interpret that the ACC endorse this as a first-line therapy, " says Weaver.
"What we do not agree with is that it should be used as a second- or third-line therapy, " says Enrico Veltri, the Schering-Plough vice-president in charge of heart disease drugs.
Some doctors have been using Vytorin as a first-line therapy because it's so easy to give: The lowest dose of this combo pill lowers cholesterol better than higher doses of the other medicines, with fewer side effects.
But drawing the line between necessary therapy and discretionary enhancement is genuinely difficult.
"Our study would strongly suggest that it is not beneficial to do it as front-line treatment but to reserve it as second-line or salvage therapy, " said study leader Dr. Mark Gilbert of the University of Texas MD Anderson Cancer Center in Houston.
The ablution rooms had some success, but the pressure to return men to the front line meant minimal time for therapy, and many patients remained infected after apparently successful treatment.
All these signs put to an individual that is undergoing chemo therapy including the PICC line that can be seen beneath his shirt.
The bottom line is that in many cases, physical therapy when applied to this select group of patients may help to avoid surgery along with its potential risks.
An organic garden supplies much of the produce, and the spa offers unusual color-therapy treatments performed with a rigorously organic product line.
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