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The medical information on this website is for educational purposes,
to provide general information regarding certain new research
developments in medicine. In the interest of public eduation several
of these developments have been reported here as soon as possible
after their publication. The information on this website should
not be considered complete, nor should it be relied upon to establish
or suggest a course of treatment for any particular individual.
Although efforts will be made from time to time to update this
information, it cannot be considered to be up-to-date, but rather
to be only a partial report of the medical and research information
available at the time this was written. The opinions presented
on this website are subject to change, and should not be considered
to be a treatment recommendation for any individual patient. Treatment
recommendations can only be made in the course of an established
physician-patient relationship following an in-person physical
examination, medical history, and review of medical records. The
information in this website should therefore not be used in place
of a visit to your physician. Consult with your personal physician
before beginning a new treatment regimen. You, the reader, take
sole responsibility for interpretation and application of the
information in this website. Mechanisms of disease remain incompletely
understood and subject to constant revision as medical knowledge
is developed. Medical opinions differ, and no representation is
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opinion or the standard of medical care. See California B&P
2234.1(4c): "Since the National Institute of Medicine has
reported that it can take up to 17 years for a new best practice
to reach the average physician and surgeon, it is prudent to give
attention to new developments not only in general medical care
but in the actual treatment of specific diseases, particularly
those that are not yet broadly recognized in California".
All medications have potential adverse effects. These side effects
must be weighed against the possibility of beneficial therapeutic
effects with regard to treatment of the underlying illnesses in
question. Biologic TNF inhibitors have been associated with serious
adverse reactions. Readers are referred to the prescribing information
available from the pharmaceutical manufacturers for more complete
information. This is generally available in the patient handouts
accompanying the medications; from pharmacies; in the PDR; and
on the manufacturer websites. The treatments used at the our medical
clinics are generally for clinical disorders for which currently
available treatments are either ineffective, only partially effective,
or associated with other adverse effects. Neither our physicians,
nor any of our employees or agents can guarantee that treatment
at our clinics will result in clinical improvement and will not
result in adverse effects. The information included in this website
is for general informational and educational use only, and is
subject to change pending the results of additional studies or
additional clinical results reported in the medical literature.
The information contained in this website is not meant to substitute
for the opinion of the patient's personal physician, and should
not be construed as a treatment recommendation. Treatment recommendations
can only be given after an in-office evaluation by an INR physician.
Any recommendations regarding treatment must be viewed in the
context of the treatment literature and discussions which take
place during the in-office evaluation by one of our physicians,
with particular consideration to the fact that many medications
used at our clinics, while FDA approved for other uses, have not
received FDA approval for the off-label indication selected by
our physician. Off-label status of a drug or biologic means, by
definition, that this medication has not been endorsed by the
FDA to be either safe or effective for this off-label use, even
if the medication has been FDA-approved for other medical uses.
We cannot guarantee, nor do we mean to imply, by any of the information
in this website, that any single medication will necessarily lead
to clinical improvement if administered for any given new patient.
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treatment will be recommended or undertaken by the Institute physician.
Treatment decisions will be made individually. Contraindications
to medical treatment at the Institute may be determined at any
stage in the evaluation process, even prior to physician physical
examination.#General Issues
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