"Brittle" diabetes, also known as unstable diabetes or labile diabetes, is a term that was traditionally used to describe the dramatic and recurrent swings in glucose levels, often occurring for no apparent reason in insulin-dependent diabetes. This term, however, has no biologic basis and should not be used.[38] Still, type 1 diabetes can be accompanied by irregular and unpredictable high blood sugar levels, frequently with ketosis, and sometimes with serious low blood sugar levels. Other complications include an impaired counterregulatory response to low blood sugar, infection, gastroparesis (which leads to erratic absorption of dietary carbohydrates), and endocrinopathies (e.g., Addison's disease).[38] These phenomena are believed to occur no more frequently than in 1% to 2% of persons with type 1 diabetes.[39]
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There are some interesting developments in blood glucose monitoring including continuous glucose sensors. The new continuous glucose sensor systems involve an implantable cannula placed just under the skin in the abdomen or in the arm. This cannula allows for frequent sampling of blood glucose levels. Attached to this is a transmitter that sends the data to a pager-like device. This device has a visual screen that allows the wearer to see, not only the current glucose reading, but also the graphic trends. In some devices, the rate of change of blood sugar is also shown. There are alarms for low and high sugar levels. Certain models will alarm if the rate of change indicates the wearer is at risk for dropping or rising blood glucose too rapidly. One version is specifically designed to interface with their insulin pumps. In most cases the patient still must manually approve any insulin dose (the pump cannot blindly respond to the glucose information it receives, it can only give a calculated suggestion as to whether the wearer should give insulin, and if so, how much). However, in 2013 the US FDA approved the first artificial pancreas type device, meaning an implanted sensor and pump combination that stops insulin delivery when glucose levels reach a certain low point. All of these devices need to be correlated to fingersticks measurements for a few hours before they can function independently. The devices can then provide readings for 3 to 5 days.
My mom has terminal metastatic breast cancer and her bone metastases are incredibly painful. Not only does this product keep her pain tolerable but it has also decreased her depression and anxiety significantly. She no longer has those ups and downs but finally feels GOOD. Thank you for giving my mom her quality of life back so we can truly enjoy our time with her. For reference she takes 1000 mg 2xday.
There are many types of arthritis (over 100 identified, and the number is growing). The types of arthritis range from those related to wear and tear of cartilage (such as osteoarthritis) to those associated with inflammation resulting from an overactive immune system (such as rheumatoid arthritis). Together, the many types of arthritis make up the most common chronic illness in the United States.
Individuals with arthritis can benefit from both physical and occupational therapy. In arthritis the joints become stiff and the range of movement can be limited. Physical therapy has been shown to significantly improve function, decrease pain, and delay need for surgical intervention in advanced cases.[43] Exercise prescribed by a physical therapist has been shown to be more effective than medications in treating osteoarthritis of the knee. Exercise often focuses on improving muscle strength, endurance and flexibility. In some cases, exercises may be designed to train balance. Occupational therapy can provide assistance with activities. Assistive technology is a tool used to aid a person's disability by reducing their physical barriers by improving the use of their damaged body part, typically after an amputation. Assistive technology devices can be customized to the patient or bought commercially.[44]
Uric acid is formed as the body breaks down purines, a substance found in human cells and in many foods. Some people have high levels of uric acid because they naturally produce more than is needed or the body can’t get rid of the uric acid quickly enough. In some people the uric acid builds up and forms needle-like crystals in the joint, resulting in sudden spikes of extreme joint pain, or a gout attack. Gout can come and go in episodes or, if uric acid levels aren’t reduced, it can become chronic, causing ongoing pain and disability.
^ Ettinger WH, Burns R, Messier SP, Applegate W, Rejeski WJ, Morgan T, Shumaker S, Berry MJ, O'Toole M, Monu J, Craven T (1997). "A randomized trial comparing aerobic exercise and resistance exercise with a health education program in older adults with knee osteoarthritis. The Fitness Arthritis and Seniors Trial (FAST)". JAMA: The Journal of the American Medical Association. 277 (1): 25–31. doi:10.1001/jama.1997.03540250033028. PMID 8980206.
Pain medications that are available over the counter, such as acetaminophen (Tylenol), can be very helpful in relieving the pain symptoms of mild osteoarthritis and are often recommended as the first medication treatment. Since acetaminophen has fewer gastrointestinal side effects than nonsteroidal anti-inflammatory drugs (NSAIDS), especially in elderly patients, acetaminophen is generally the preferred initial drug given to patients with osteoarthritis.
CBD oil or Cannabis is recommended for people dealing with chronic pain. This oil is said to reduce inflammation, pain and overall discomfort associated with various health conditions. This oil is extracted from cannabis, which is a type of cannabinoid. It is a chemical which is found naturally in hemp plants and marijuana. The application of CBD oil can provide great relief from severe pain in the body.
Just like THC, CBD is a chemical compound extracted from hemp plants. Both hemp and cannabis contain cannabidiol (CBD), the non-psychoactive substance. THC, however, is the substance that gives users that “high” or psychoactive effect. CBD has many similarities to THC when it comes to potential health benefits, but the main difference is that it’s a non-psychoactive substance, so it doesn’t give a natural high to users. It also does not cause anxiety, paranoia, or the mouth and eye dryness associated with THC, even when CBD is consumed in higher concentrations. Due to these inherent advantages, most high-quality CBD oil products on the market today are extracted from the hemp plant. THC oil, on the other hand, is derived from the cannabis plant, so it contains high levels of THC and low levels of CBD. On the other hand, industrially produced hemp contains higher concentrations of CBD with only trace amounts of THC, so it’s safer and offers fewer symptoms for users.

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Staphylococcus or staph is a group of bacteria that can cause a multitude of diseases. Staph infections can cause illness directly by infection or indirectly by the toxins they produce. Symptoms and signs of a staph infection include redness, swelling, pain, and drainage of pus. Minor skin infections are treated with an antibiotic ointment, while more serious infections are treated with intravenous antibiotics.
Septic arthritis is an infection of the joint. Most often bacteria reach the joint through the bloodstream from an infection in another part of the body, such as the urinary tract. Infected joints are typically warm, red, and acutely tender. They are often swollen due to pus in the joint. An infected joint often needs surgical drainage in addition to antibiotics.

As we’ve outlined, Cannabidiol, or CBD, has receptors throughout your body, called the endocannabinoid system. Human beings can supplement this CBD system to aid and strengthen the immune system and other functions. Just like you may take vitamin c from an orange to supplement your health, CBD intake improves your endocannabinoid system and overall health. The increasing prevalence of CBD oils for the management and treatment of various illnesses has inspired cannabis breeders to propagate certain strains. The goal of manufacturers is to yield hemp plants with higher CBD to THC ratios to minimize, if not, eliminate, the psychoactive side effects caused by THC. According to research, the best source of high-quality CBD derives from organically grown cannabis with up to 20% CBD concentration by dry weight.
I am 70 years old and have arthritic pain and stiffness in my hands. I work part-time for a delivery company and spend 4-5 hour shifts removing small and large packages from a belt think of Lucy and Ethel at the chocolate factory. I bought the 3000 MG tincture about two weeks. I started out with 6 drops @ 2X per day 30MG. It took the edge off of aches and pains from working and arthritic pain but increased the dose to 7 drops @ 3 times per day 52.5 MG. Although I still felt some aches and pains it decreased considerably. Today I have started 7 drops 4X per day 75 MG. I anticipate getting much better results. All-in-all I am quite pleased with the 3000 tincture oil. I feel that the oil has given me more energy to do things around the house probably because I am now experiencing much fewer aches and pains in my body and hands. By the way the reason I am taking the oil 4 times a day is because I read that the body will not absorb more than 15 MG at a time and discards any oil above that amount. It may not be true but thats my story and Im sticking to it.

Colored impurities from the oil can be removed by adding activated charcoal to about one third to one half the weight or volume of the solvent containing the dissolved oil, mixing well, filtering, and evaporating the solvent.[2] When decolorizing fatty oils, oil retention can be up to 50 wt % on bleaching earths and nearly 100 wt % on activated charcoal.[18]


D) Rule out and treat infections and food allergies, which can aggravate arthritis. I usually treat my rheumatoid arthritis patients with the antibiotic doxycycline as well this has the shown to be helpful in several studies. The question is whether it acts as an anti-inflammatory on its own or whether it is killing an infection causing the arthritis.
In the future, medications may be available that can protect the cartilage from the deteriorating consequences of osteoarthritis. New treatments, such as antiinflammatory lotion and patches (diclofenac [Flector]) are becoming available for relief of joint pain symptoms. Innovative cartilage research will open the door for new approaches to an old problem. Investigators are evaluating the effectiveness of over-the-counter food supplements. Better treatment options are being developed as we understand more about our immune system and genetics.

CBD oil is extracted from the resinous trichomes of cannabis plants. There are many different cannabis “strains” or varietals. The amount of CBD present in the trichomes will depend on the particular variety of cannabis or hemp. Low resin industrial hemp, which is legally defined as cannabis with less than 0.3 percent THC by dry weight, has fewer trichomes - and therefore less oil - than high-resin cannabis varietals.


The card will be valid for two years from the date it is issued. The expiration date will be printed on the front of the card. After that time, you will need to again consult with your physician and request that they update and confirm your information into the registry. Please plan to allow 15 business days to process your information, print your card and have it ready for pick-up from the closest of the 20 Public Health Offices approved to distribute them to the address you list as your residence in the registry. 
Buying CBD OIL has never been easier.  Since CBD Oil from the Hemp plant does not contain unlawful measures of THC, it is legitimate in every one of the 50 states. This is imperative to individuals everywhere throughout the US who need CBD however can’t get it locally. What’s more, legitimate CBD is accessible for home conveyance in every one of the 50 states meaning numerous individuals don’t need to move to a state with sanctioned Medical Marijuana. Additionally, in states where medicinal weed is lawful, buyers utilizing this hemp plant type of CBD don’t need to obtain a medical marijuana card.
If you live with chronic pain, you may have experienced how it can disrupt sleep and, in some cases, can contribute to anxiety and depression. Natural therapies, including exercising and taking up mind-body practices like meditation and yoga, and following an anti-inflammatory diet may help improve quality of life for some people who experience pain regularly.
I have dealt with overall muscle pain for several years and was finally diagnosed with fibromyalgia 6 months ago. Due to stomach issues, I am no longer able to take NSAIDs, and I don’t want to start down the opioid trail, so I’ve been pretty miserable. Most days I felt like I’d been hit by a truck, and by the end of a work day, I was done. Many evenings I had to use a foam roller on my neck, back, and legs before I could even think of going to bed, and just trying to sit and relax was sometimes impossible. My husband did a lot of research on CBD oil, and Medterra seemed to be a solid company with a good following. He got me a bottle of the 1,000mg tincture, and I “front-loaded” with two doses a day for the first 5 days, then went down to one 1ml dose each morning. Even though we were on a lake vacation and I was climbing in and out of the boat and bouncing around the lake, I noticed that the pain and achiness in my arms and legs was gone within the first couple of days. After a couple more days, I realized that the pain and tightness in my upper back/neck were nearly gone as well. I’m starting to get my “old” energy back, and I can focus on doing what I want to do without the pain constantly interfering. My next order will be for the 3,000mg tincture... I want to play with the dosing a bit and see if I can get some relief with lower back pain (unrelated to the fibro). If you’re dealing with muscle pain, I highly recommend giving Medterra CBD oil a try.
Epigenetic alterations are functionally relevant modifications to the genome that do not change the nucleotide sequence. Examples of such modifications are changes in DNA methylation (hypermethylation and hypomethylation), histone modification[78] and changes in chromosomal architecture (caused by inappropriate expression of proteins such as HMGA2 or HMGA1).[79] Each of these alterations regulates gene expression without altering the underlying DNA sequence. These changes may remain through cell divisions, last for multiple generations and can be considered to be epimutations (equivalent to mutations).
Gout is caused by deposition of uric acid crystals in the joint, causing inflammation. There is also an uncommon form of gouty arthritis caused by the formation of rhomboid crystals of calcium pyrophosphate known as pseudogout. In the early stages, the gouty arthritis usually occurs in one joint, but with time, it can occur in many joints and be quite crippling. The joints in gout can often become swollen and lose function. Gouty arthritis can become particularly painful and potentially debilitating when gout cannot successfully be treated.[35] When uric acid levels and gout symptoms cannot be controlled with standard gout medicines that decrease the production of uric acid (e.g., allopurinol, febuxostat) or increase uric acid elimination from the body through the kidneys (e.g., probenecid), this can be referred to as refractory chronic gout or RCG.[36]
Exercise. Exercising helps your body use insulin and lower your blood sugar level. It also helps control your weight, gives you more energy, and is good for your overall health. Exercise also is good for your heart, your cholesterol levels, your blood pressure, and your weight. These are all factors that can affect your risk of heart attack and stroke. Talk with your doctor about starting an exercise program.

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To explain what hemoglobin A1c is, think in simple terms. Sugar sticks, and when it's around for a long time, it's harder to get it off. In the body, sugar sticks too, particularly to proteins. The red blood cells that circulate in the body live for about three months before they die off. When sugar sticks to these hemoglobin proteins in these cells, it is known as glycosylated hemoglobin or hemoglobin A1c (HBA1c). Measurement of HBA1c gives us an idea of how much sugar is present in the bloodstream for the preceding three months. In most labs, the normal range is 4%-5.9 %. In poorly controlled diabetes, its 8.0% or above, and in well controlled patients it's less than 7.0% (optimal is <6.5%). The benefits of measuring A1c is that is gives a more reasonable and stable view of what's happening over the course of time (three months), and the value does not vary as much as finger stick blood sugar measurements. There is a direct correlation between A1c levels and average blood sugar levels as follows.

A physical exam and medical history, especially the history of symptoms, are the first steps in diagnosing cancer. In many instances, the medical caregiver will order a number of tests, most of which will be determined by the type of cancer and where it is suspected to be located in or on the person's body. In addition, most caregivers will order a complete blood count, electrolyte levels and, in some cases, other blood studies that may give additional information.

There is no scientific evidence or research on CBD as an effective treatment for migraine—in large part because it has not been formally studied. However, it may still be a viable topical option for some patients with joint and muscle pain associated with migraine. “If you have a lot of neck pain or soreness, it is perfectly reasonable to use CBD oil. It may even prevent nausea and vomiting,” Dr. Silberstein says.

If the information on your card is wrong or outdated, please contact the State Office of Vital Records at 404-679-4702 option 4. Vital Records will verify the information provided by your physician on your order. If the information on the order is incorrect, you will need to contact your physician and ask that they update the information. At that time a new card will be issued. 
^ Emadian A, Andrews RC, England CY, Wallace V, Thompson JL (November 2015). "The effect of macronutrients on glycaemic control: a systematic review of dietary randomised controlled trials in overweight and obese adults with type 2 diabetes in which there was no difference in weight loss between treatment groups". The British Journal of Nutrition. 114 (10): 1656–66. doi:10.1017/S0007114515003475. PMC 4657029. PMID 26411958.
Moreover, a patient survey conducted by Project CBD, declared that “…cannabis appears to be an effective pain management tool with few negative side effects.” The study went on to say that a “…significant decrease in opiate usage among elderly patients while taking medical cannabis [was observed during trial].” In short, it has been portrayed clearly numerous times through valid and well-publicized clinical studies that cannabis is a practical option in terms of efficient pain management.
In several US survey studies, many older patients with arthritis reported using complementary and alternative treatments. The most commonly used treatments were massage therapy (57%) and chiropractic (21%). The use of complementary therapies for arthritis was most common among those who considered themselves in poorer health and who also used traditional healthcare resources more.
Fever: A mildly elevated temperature is not unusual in a person with active inflammation from rheumatoid arthritis. However, a true fever (temperature is above 100.4 degrees F or 38 degrees C) is not expected and can represent an infection. People with rheumatoid arthritis are at increased risk for infection because of their disease and frequently because of their medications. Many of the medications used to treat rheumatoid disease suppress the immune system of the body that is responsible for defending against infectious microbes. Furthermore, these medications can increase the risk of a more serious infection when a bacterium or virus strikes. It is important for people with rheumatoid arthritis to notify the doctor as soon as a fever occurs so that infections are treated at the earliest time possible. This can minimize the chances for many serious complications of infections.
Osteoarthritis is the most common type of arthritis. When the cartilage – the slick, cushioning surface on the ends of bones – wears away, bone rubs against bone, causing pain, swelling and stiffness. Over time, joints can lose strength and pain may become chronic. Risk factors include excess weight, family history, age and previous injury (an anterior cruciate ligament, or ACL, tear, for example). 
www.CureYourOwnCancer.org© 2011-2017 - FDA Disclaimer: The statements on this site have not been evaluated by the FDA and are not intended to diagnose, treat, cure or prevent any disease. Individual results may vary. Always consult with your doctor before starting any treatment. Content on this site is no way to be considered professional medical advice; they are opinions. Unless otherwise stated, none of the authors are valid medical professionals. This site is for educational purposes only! We encourage you to use the information and links on this site with your doctor.

Prediabetes occurs when blood sugar levels are higher than they should be, but not high enough to officially be diagnosed as diabetes. Pre-diabetes greatly increases the risk of developing type 2 diabetes. The good news is that, if you have prediabetes, you can prevent or delay the onset of full-blown type 2 diabetes by making lifestyle changes. These include eating a healthy diet, reaching and maintaining a healthy weight, and exercising regularly.
Experimental cancer treatments are studied in clinical trials to compare the proposed treatment to the best existing treatment. Treatments that succeeded in one cancer type can be tested against other types.[211] Diagnostic tests are under development to better target the right therapies to the right patients, based on their individual biology.[212]
In autoimmune diseases, such as type 1 diabetes, the immune system mistakenly manufactures antibodies and inflammatory cells that are directed against and cause damage to patients' own body tissues. In persons with type 1 diabetes, the beta cells of the pancreas, which are responsible for insulin production, are attacked by the misdirected immune system. It is believed that the tendency to develop abnormal antibodies in type 1 diabetes is, in part, genetically inherited, though the details are not fully understood.
If your intention is to help treat chronic pain, then you may want to start out with a lower dose, and then proceed from there. If you notice effective results, you can downsize the dose, or likewise you can always up the dose until positive results are achieved. The key is to only increase your dosage in small increments so that you are able to pinpoint exactly how much CBD oil it takes to treat your condition. Be advised, though, that you should not exceed the recommended daily doses that are listed on the bottle and you should consult with a physician.
A CNN program that featured Charlotte's Web cannabis in 2013 brought increased attention to the use of CBD in the treatment of seizure disorders.[64][65] Since then, 16 states have passed laws to allow the use of CBD products with a doctor's recommendation (instead of a prescription) for treatment of certain medical conditions.[66] This is in addition to the 30 states that have passed comprehensive medical cannabis laws, which allow for the use of cannabis products with no restrictions on THC content.[66] Of these 30 states, eight have legalized the use and sale of cannabis products without requirement for a doctor's recommendation.[66]
The most common type of arthritis, osteoarthritis involves wear-and-tear damage to your joint's cartilage — the hard, slick coating on the ends of bones. Enough damage can result in bone grinding directly on bone, which causes pain and restricted movement. This wear and tear can occur over many years, or it can be hastened by a joint injury or infection.
In several US survey studies, many older patients with arthritis reported using complementary and alternative treatments. The most commonly used treatments were massage therapy (57%) and chiropractic (21%). The use of complementary therapies for arthritis was most common among those who considered themselves in poorer health and who also used traditional healthcare resources more.

• Is there a batch number? You know how you check your raw chicken or bagged lettuce every time there's a recall to make sure the one you bought isn't going to make you sick? You should be able to do that with CBD products too. "This is a huge indicator as to whether they are following good manufacturing practices," says Beatty. "There should be a way to identify this product in case it was improperly made so the company can carry out a recall."
Although delta-9-tetrahydrocannabinol (known as THC) is the primary psychoactive ingredient, other known compounds with biologic activity are cannabinol, cannabidiol, cannabichromene, cannabigerol, tetrahydrocannabivarin and delta-8-THC. Cannabidiol (CBD) is thought to have significant pain-relieving and anti-inflammatory activity without the psychoactive effect of delta-9-THC. (2)
The oil may be further refined by 1) alkali washing, or removing the heavy aromatic carboxylic acids with antibiotic properties, which may cause heartburn, gallbladder and pancreas irritation, and resistance to hemp antibiotics; 2) conversion of CBD to THC. Process 1) consists of dissolving the oil in a nonpolar solvent such as petroleum ether, repeatedly washing (saponifying) with a base such as sodium carbonate solution until the yellow residue disappears from the watery phase, decanting, and washing with water to remove the base and the saponified components (and evaporating the solvents). This process reduces the oil yield, but the resulting oil is less acidic, easier digestible and much more potent (almost pure THC). Process 2) consists of dissolving the oil in a suitable solvent such as absolute ethanol containing 0.05% hydrochloric acid, and boiling the mixture for 2 hours.[17]
Wondering where to buy cannabis oil? Look for a reputable company that sells its products legally (according to your specific state laws) with full transparency and accountability. It’s very important to make sure any cannabis oil you purchase has been tested by accredited laboratories to ensure that is is free of pesticides, residual solvents (from the extraction process), bacteria, fungus, foreign matter and heavy metals.

Some slow-growing cancers are particularly common, but often are not fatal. Autopsy studies in Europe and Asia showed that up to 36% of people have undiagnosed and apparently harmless thyroid cancer at the time of their deaths and that 80% of men develop prostate cancer by age 80.[178][179] As these cancers do not cause the patient's death, identifying them would have represented overdiagnosis rather than useful medical care.
The card will be valid for two years from the date it is issued. The expiration date will be printed on the front of the card. After that time, you will need to again consult with your physician and request that they update and confirm your information into the registry. Please plan to allow 15 business days to process your information, print your card and have it ready for pick-up from the closest of the 20 Public Health Offices approved to distribute them to the address you list as your residence in the registry. 
But butane and other hydrocarbons are highly flammable, neurotoxic solvents. If these solvents aren’t fully purged from the CBD oil extract, their consumption can be harmful - especially for someone with a compromised immune system. In addition to leaving toxic residues in the oil, unsafe manufacturing processes involving hydrocarbons have been known to cause deadly explosions.
According to the U.S. National Library of Medicine, cannabis use for medicinal purposes dates back at least 3,000 years. It was introduced into Western medicine in the 1840s by W.B. O’Shaughnessy, a surgeon who learned of its medicinal properties while working in India for the British East Indies Co. It became useful because of its analgesic, sedative, anti-inflammatory, anti-spasmodic and anti-convulsant effects.
However, switching to CBD oil from a conventional medication is far from a random stab in the dark. In fact, there was a large scale (and very well-documented) survey carried out less than two years ago that looked at precisely what percentage of patients were able to “swap” their side effect-inducing meds for a 100% natural, cannabis-based therapy.

Diabetes experts feel that these blood glucose monitoring devices give patients a significant amount of independence to manage their disease process; and they are a great tool for education as well. It is also important to remember that these devices can be used intermittently with fingerstick measurements. For example, a well-controlled patient with diabetes can rely on fingerstick glucose checks a few times a day and do well. If they become ill, if they decide to embark on a new exercise regimen, if they change their diet and so on, they can use the sensor to supplement their fingerstick regimen, providing more information on how they are responding to new lifestyle changes or stressors. This kind of system takes us one step closer to closing the loop, and to the development of an artificial pancreas that senses insulin requirements based on glucose levels and the body's needs and releases insulin accordingly - the ultimate goal.

In Western Europe, 10% of cancers in males and 3% of cancers in females are attributed to alcohol exposure, especially liver and digestive tract cancers.[40] Cancer from work-related substance exposures may cause between 2 and 20% of cases,[41] causing at least 200,000 deaths.[42] Cancers such as lung cancer and mesothelioma can come from inhaling tobacco smoke or asbestos fibers, or leukemia from exposure to benzene.[42]

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Although a fever technically is any body temperature above the normal of 98.6 F (37 C), in practice, a person is usually not considered to have a significant fever until the temperature is above 100.4 F (38 C). Fever is part of the body's own disease-fighting arsenal; rising body temperatures apparently are capable of killing off many disease-producing organisms.
Because cancer is a class of diseases,[206][207] it is unlikely that there will ever be a single "cure for cancer" any more than there will be a single treatment for all infectious diseases.[208] Angiogenesis inhibitors were once incorrectly thought to have potential as a "silver bullet" treatment applicable to many types of cancer.[209] Angiogenesis inhibitors and other cancer therapeutics are used in combination to reduce cancer morbidity and mortality.[210]
Kimberly is the reference editor for Live Science and Space.com. She has a bachelor's degree in marine biology from Texas A&M University, a master's degree in biology from Southeastern Louisiana University and a graduate certificate in science communication from the University of California, Santa Cruz. Her favorite stories include animals and obscurities. A Texas native, Kim now lives in a California redwood forest. You can follow her on Twitter @kimdhickok.
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