The problem, as Mr. Salzberg will be quick to point out, is that those studies concluded it did not matter where needles were placed or even when toothpicks were used (as in the U.S. study).

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She uses tack needles--not quite a quarter-inch long--for fine lines, and removes them with tweezers.

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In the five years since its publication, implementation has accelerated, led largely, as it proposed, by private-sector innovation and often stimulated by the institute's " institutional acupuncture": figuring out where the business logic is congested and not flowing properly, and then sticking needles into sensitive sites to get it flowing.

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