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In those cases, having an honest conversation about whats achievable non-surgically versus what might be better addressed surgically leads to better outcomes than promising more than non-surgical treatment can deliver

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Overall, the risks of bias were relatively low for the whole included trials (See Figure 5 )

Viola: [00:38:17] And I say this and I'm in my lectures and a lot of doctors look at me and say, I don't know if you realize this, but I don't even have time to eat lunch and use the restroom