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The information provided in this book is not intended as a substitute for professional medical advice but as an important supplement to it. If you are experiencing any serious symptoms that you have not yet discussed with your doctor or other health care professional, please seek medical attention.

The patient stories presented in this book come from many years of clinical experience. To protect privacy, all identifying characteristics and data have been changed.

Acknowledgments and expressions of gratitude follow the text. They are found on pages 231-234.

We dedicate this book to our many teachers: patients, professors, mentors, colleagues, friends, and family. We are deeply grateful for all that you have taught us. You have blessed us. We hope this book honors you.