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Physical or emotional trauma: Events such as surgery, injury, or significant psychological stress can trigger CFS

However, this observation is somewhat difficult to reconcile with modelled data (Polle 2001)

thus, dietary and lifestyle changes, particularly early in the course of CKD, can be very helpful in preserving kidney function and overall health

We adjust the dose if needed

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Nevertheless, after decades in behavior and lifestyle based longevity medicine, including leading the multidisciplinary intensive lifestyle program at the Pritikin Longevity Center that led to Medicares approval for Pritikins ICR (intensive cardiac rehab - aka heart disease reversal) program, and logging over 20K hrs building comprehensive metabolic health intervention programs (including Henry Ford Health which Reality Meets Science licenses our Flex5 lifestyle change program), one conclusion is clear: The engine is behavioral