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Paul P. Doghramji, MD, FAAFP; Lindsay S. Lally, MD

Clinical Consultations™: Optimal Approaches to Recognizing and Treating ANCA-Associated Vasculitis

Milan J. Anadkat, MD; Arash Mostaghimi, MD, MPA, MPH

Clinical Consultations™: Optimizing Treatment Outcomes for Patients with Generalized Pustular Psoriasis

Clinical ShowCase™: Forming a Personalized Treatment Plan for a Patient With ANCA-Associated Vasculitis

Burst CME™: Addressing Inadequate Response to Anti-TNF Therapy in Patients With Rheumatoid Arthritis

Frank B. Cortazar, MD; Lindsay S. Lally, MD

Community Practice Connections™: Cases and Conversations – Keeping Up with Novel Approaches to Managing ANCA-Associated Vasculitis

Your daily dose of the clinical news you may have missed.

Beer, Cider Linked to Higher Risk of Gout: Daily Dose

Higher alcohol intake was associated with a greater risk of gout for both sexes, but the correlation was stronger in men than women, according to a recent study.

Beer and Cider Associated with Higher Risk of Gout in Both Sexes vs Other Alcohol Types

Intervention Cuts Alcohol Use in Youths with Chronic Medical Conditions: Daily Dose

Results from secondary analysis suggest future work is needed to extend the prevention intervention to address additional chronic conditions and substance use.

Disease-Tailored Preventive Intervention Reduces Alcohol Use in High-Risk Youths with Chronic Medical Conditions

Patient is in his forties; pain has been waxing, waning, worsening for 2 weeks. He has no other significant medical history. Do lab results hold clues? What's your Dx?

Hip Pain in a Man with Type 1 Diabetes: Seen in the ED 

Patient Care recently spoke with rheumatologist Anthony Padula, MD, and neurologist Ilene Ruhoy, MD, PhD, about guiding patients who are interested in optimizing the health of their own gut microbiome. 

The specialists, who both incorporate gut balance in their comprehensive approach to patient care, point out that patients have already done a good deal of legwork and experimentation with probiotics and other supplements to help "fix" a problem when they raise the topic. 

What they need most, both say, is guidance--first to appreciate that, outside of strain-specific support for problems such as antibiotic-induced gut dysbiosis, restoring gut health is multifactorial and takes time 

 effort. Second, they need guidance in learning how to listen to and interpret their bodies' needs, because the body does speak.  Here's what they had to say.  

is in private practice at the Northern California Arthritis Center in Walnut Creek, CA.

is a neurologist and founder of the Center for Healing Neurology in Seattle, Washington.

More from the Patient Care conversation with Drs Padula and Ruhoy:  

Neurology, Rheumatology and the Gut Microbiome: Two Specialists Discuss

Videos

Patients interested in optimizing their own gut health have typically tried several approaches before they ask a clinician for help. Two specialists offer seasoned guidance on what helps most. 

How to Help Patients Refine a Concept of Gut Health: Two Perspectives, One View  

Rheumatology

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