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There will be more health insurance choices and a slight decrease in premiums for many consumers next year under the Affordable Care Act

More Choices, Lower Premiums for ACA Consumers Next Year

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20 more insurers will be participating in 2020, expanding consumer choice in many states
Colorectal surgery patients treated as part of an enhanced recovery after surgery (ERAS) program have less pain and use nearly half as many opioids as pre-ERAS patients

ASA: Enhanced Recovery Program Cuts Opioid Use After Colorectal Surgery

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Findings show colorectal surgical patients can better manage pain with fewer opioids
The over-the-counter heartburn drug Zantac (ranitidine) has been recalled in the United States and Canada by French drug maker Sanofi.

Zantac Recalled by Sanofi

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FDA has warned that some versions of the drug contain low levels of N-nitrosodimethylamine
In clinical guidelines published online Oct. 22 in the Annals of Internal Medicine

Recommendations Updated for Nonvariceal Upper GI Bleeding

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Guidelines address preendoscopic, endoscopic, and pharmacologic management
The risk for colorectal cancer death drops with an increasing number of prediagnostic colonoscopies

Prediagnostic Colonoscopy Cuts Colorectal Cancer Death Risk

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Mortality risk drops 17 percent with one colonoscopy before diagnosis, 45 percent with three colonoscopies
A quality improvement program can lower steroid use among patients with inflammatory bowel disease

Quality Improvement Program Lowers Prolonged Steroid Use With IBD

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Excess steroid use seen in 14 percent of patients
Patients in the United States and Canada receive prescription opioids after surgeries at a rate that is approximately seven times higher than the rate in Sweden

Postop Opioid Rx Sevenfold Higher in U.S., Canada Versus Sweden

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About 75 percent of patients in U.S. and Canada fill opioid prescriptions versus 11 percent in Sweden
Tesamorelin reduces liver fat content in patients with HIV and nonalcoholic fatty liver disease

Tesamorelin May Aid Patients With HIV, Fatty Liver Disease

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Tesamorelin significantly reduced hepatic fat fraction compared with placebo
In patients who truly have proton pump inhibitor-refractory heartburn

Surgery May Be Best Option for Some With Refractory Heartburn

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Heartburn that is both truly PPI-refractory and reflux-related occurs in a minority of patients
Patients with psoriasis have an increased risk for developing or dying from cancer

Risk for Cancer Incidence, Mortality Increased With Psoriasis

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Overall cancer mortality and mortality for liver, esophageal, pancreatic cancer up with severe psoriasis