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Sun avoidance and sun exposure need to be tailored to the patient. If my patient is very light skinned and burns within minutes, I will emphasize the need to be very careful with sunlight.

The Huguenot Chronicles, Books 1 - 3

I think prudent sun exposure has benefits beyond vitamin D, so supplementation will not make up for being outdoors, staying active, and the benefits on mood that are linked with careful sun exposure. As sun exposure puts individuals at risk for skin cancers, the concept of instituting sun avoidance — which would reduce vitamin D levels — and replacement of sunlight with vitamin D supplementation has been in debate for several years. While these findings are important, there are likely many confounding factors that were not accounted for, such as diet, exercise, activity levels, family risks, and so on.

Medical Bag: Based on existing data, what are the relevant takeaways and treatment implications for clinicians? Dr Sivamani: As noted above, clinicians should individualize the conversation to each patient, but guidelines should largely be aimed at reducing the public health epidemic of melanomas that can reduce lifespans by decades.

Dr Shapiro: The relevant takeaways are that vitamin D supplementation may not have any benefit on risk reduction for cancers and CVD.

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That said, the article discussing sun exposure as a potential factor for the reduction of cancer risk should be taken minimally, as sun exposure in and of itself carries known real risks. Medical Bag: What should be the focus of future efforts in these areas, in terms of research, guideline revision, or otherwise?

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Dr Sivamani: A better conversation around smart sun exposure is needed: What are the right times to be outside? Is 10 to 15 minutes of sun exposure in the morning or evening adequate to get the benefits of sunlight? The next step is to have a more integrative conversation between dermatologists and other experts to understand each side of the debate and then develop guidelines that remain mindful of the deadly nature of skin cancer. Login Register. Popular Emailed Recent Loading Please login or register first to view this content.

Star Trek : The Helena Chronicles 1.02 "Obsessions"

Hitman escapes, and Batman vows to meet up with him again. Sign In Don't have an account?


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Contents [ show ]. Categories :. Contagion Crossover The events from this issue are related to the Contagion crossover that went through the Batman Family Titles in , in which Gotham City had an epidemic of a mutant strand of the Ebola virus.