Internal Medicine News articles from March 2007

Internal Medicine News archives from March 2007

Geriatrics pay, workforce linked.(News)
March 1, 2007... Improved reimbursement remains the focus of efforts to shore up the nation's supply of geriatricians. Medicare's physician fee schedule for nursing home care urgently needs to be adjusted to reflect the real costs of diagnosis and...

Number of U.S. hospitalists expected to double in 5 years.(VITAL SIGNS)
March 1, 2007... Number of U.S. Hospitalists Expected to Double in 5 Years Source: Society of Hospital Medicine ELSEVIER GLOBAL MEDICAL NEWS

Hormone therapy risks assessed in NAMS statement.(Women's Health)(North American Menopause Society)
March 1, 2007... The benefits of hormone therapy outweigh its risks in healthy perimenopausal and early-postmenopausal women with menopause-related symptoms and a low baseline risk of stroke, according to a revised position statement from the North American...

Glucose stabilization not helpful in acute stroke.(News)
March 1, 2007... SAN FRANCISCO -- Stabilizing glucose levels in acute stroke patients failed to reduce mortality or influence survival with severe disability at 90 days in a large randomized controlled trial presented at the 32nd International Stroke...

ADA offers new online resources.(News)(American Diabetes Association)(Brief article)
March 1, 2007... The American Diabetes Association has launched a new initiative, Check Up America, to help physicians and consumers recognize risk factors for diabetes and heart disease. Recognition and reduction of cardiometabolic risks are addressed via...

Orlistat wins approval as OTC weight-loss drug: the thrice-daily drug blocks up to 25% of total fat absorption in the intestine, which is then excreted.(News)
March 1, 2007... Orlistat will soon be available to consumers without a prescription, making it the first weight-loss product available over the counter that has been recognized as safe and effective. The approval of orlistat (Alli) by the Food and Drug...

Protege GPS and Protege RX Carotid Stent Systems.(NEW & APPROVED)
March 1, 2007... Protege GPS and Protege RX Carotid Stent Systems (ev3, Inc.) A carotid stent approved for treating patients at high risk for adverse events from carotid endarterectomy who meet certain criteria. The third carotid stent system to be...

Alphanate.(NEW & APPROVED)
March 1, 2007... Alphanate (Antihemophilic Factor/von Willebrand Factor Complex [Human], Grifols Biologicals) This clotting factor concentrate is the first biologic product approved for patients with von Willebrand disease (vWD) who are undergoing...

Off-label androgen therapy for women.(Editorial)
March 1, 2007... Although male sexual dysfunction has grabbed the lion's share of the headlines and punch lines, it is important that women also receive optimal care for this condition. A landmark 1999 study showed that about 43% of American women aged...

Is radical debulking the best strategy for treating ovarian cancer?(POINT/COUNTERPOINT)
March 1, 2007... Evidence supports cytoreductive surgery. The general rule of thumb in treating ovarian cancer is that the greater the amount of tumor removed, the better the outcome. Since the 1970s, research has shown that survival is directly...

Motivate patients, explain Hb[A.sub.1c].(Letter to the editor)
March 1, 2007... While I concede the arguments made for a more accurate reporting of true "mean" blood glucose levels instead of hemoglobin [A.sub.1c], this fact must be acknowledged: Hb[A.sub.1c] is now a household word with physicians, and that benchmark has...

Don't be mean about blood glucose.(Letter to the editor)
March 1, 2007... I hope the American Diabetes Association, of which I am a member, involves the diabetes care community before embarking on a major change in the terminology of [A.sub.1c]. The last time such an effort was undertaken, the ADA changed...

Don't report 'mean blood glucose'.(Letter to the editor)
March 1, 2007... I object to reporting a "mean blood glucose" instead of the glycosylated hemoglobin as percent of total, when the change is based on data from a study of only about 600 individuals. The new test will not have any validation in terms of...

Scrutinize those free drug samples.(Letter to the editor)
March 1, 2007... I agree that further study and hard evidence are needed to address the appropriateness of providing free drug samples in clinical care ("Free Drug Samples Create Ethical Rift Among MDs," Jan. 15, 2007, p. 72). I suggest that future studies...

We can take a lesson from lawyers.(Letter to the editor)
March 1, 2007... With regard to the 74% pass rate during the spring 2006 internal medicine recertification exam, several thoughts occurred to me. When I first started my practice 20 years ago, I almost did not bother taking the exam because...

Drug testing works if done right.(Letter to the editor)
March 1, 2007... One of Dr. John R. Knight's arguments against drug testing in schools is the risk of false positives and false negatives ("Does drug testing have a place in our schools?" Point/Counterpoint, Dec. 15, 2006, p. 7). There is a risk of a false...

Pain relievers.(Opinion)(Cartoon)
March 1, 2007... "I've authorized heroic measures to find you medical coverage."

Autologous conditioned serum may aid osteoarthritis.(Rheumatology)
March 1, 2007... PRAGUE -- Intra-articular injections of autologous conditioned serum reduced symptoms of knee osteoarthritis significantly more than did saline or hyaluronan injections in the therapy's first controlled clinical trial, Dr. Carsten Moser...

Dynamic wedging eases knee osteoarthritis pain.(Rheumatology)(Clinical report)
March 1, 2007... PRAGUE -- Individually calibrated shoes that provide dynamic wedging can significantly improve pain and function in patients with knee osteoarthritis--sometimes immediately, Dr. Yuval Ran reported at the 2006 World Congress on Osteoarthritis....

Everyday walking shoes may step up risk of OA.(Rheumatology)
March 1, 2007... PRAGUE -- In patients with osteoarthritis--and even in healthy subjects--standard walking shoes result in significantly more knee adduction compared with barefoot walking or walking with a specially designed "unloading" shoe, Dr. Najia Shakoor...

Knee OA associated with low vitamin D intake.(Rheumatology)(Brief article)
March 1, 2007... PRAGUE -- Low dietary vitamin D intake is associated with an increased prevalence of knee osteoarthritis, Dr. Nigel K. Arden reported at the 2006 World Congress on Osteoarthritis. The association was seen in tibiofemoral but not...

Blood lead levels linked to osteoarthritis.(Rheumatology)(Clinical report)
March 1, 2007... PRAGUE -- Blood lead levels significantly below those that are defined as toxic by the Centers for Disease Control and Prevention are associated with increased rates of moderate to severe knee osteoarthritis, reported Dr. Joanne M.Jordan,...

HAQ score at 1 year predicts mortality in arthritis patients.(Rheumatology)(Health Assessment Questionnaire)
March 1, 2007... WASHINGTON -- Early functional disability is predictive of both all-cause and cardiovascular mortality in patients with inflammatory polyarthritis, Dr. Tracey M. Farragher reported at the annual meeting of the American College of Rheumatology....

New recommendations target management of early arthritis.(Rheumatology)
March 1, 2007... The availability of more effective arthritis drugs and monitoring techniques has created a critical window of opportunity when joint destruction can be averted and function maintained. To help clinicians make the most of this crucial period in...

Proportion of adults whose physician-diagnosed arthritis limited their activity in 2003-2005.(DATA WATCH)(Brief article)
March 1, 2007... Proportion of Adults Whose Physician-Diagnosed Arthritis Limited Their Activity in 2003-2005 White, non-Hispanic 35% Black, non-Hispanic 43% Hispanic 42% Other, non-Hispanic 40% Note: Based on age-adjusted...

Citalopram relieves depression in CAD patients.(Psychiatry)(Clinical report)
March 1, 2007... TUCSON, ARIZ. -- A randomized, multicenter Canadian trial testing interpersonal psychotherapy and citalopram in 284 depressed patients with stable coronary artery disease produced mixed results, investigators reported at the annual meeting of...

Use of diagnostic mammography drops by 39%.(Women's Health)
March 1, 2007... CHICAGO -- Growth in the use of mammography in the United States slowed in recent years among Medicare beneficiaries, Dr. David C. Levin said at the annual meeting of the Radiological Society of North America. Between 1996 and 2004, the...

Figure family structure into BRCA screening.(Women's Health)(Brief article)(Clinical report)
March 1, 2007... SAN ANTONIO -- Consider lowering the threshold for BRCA mutation testing in patients with early-onset breast cancer who have fewer than two first- or second-degree female relatives older than age 45, Dr. Jeffrey N. Weitzel advised at a breast...

Percentage of women aged [greater than or equal to]40 years having regular mammograms is decreasing.(DATA WATCH)(Brief article)
March 1, 2007... Percentage of Women Aged [greater than or equal to]40 Years Having Regular Mammograms Is Decreasing 2000 76.4% 2002 75.9% 2004 74.3% Note: Based on data from the Behavioral Risk Factor surveillance System, 2000-2004....

New genetic test predicts breast Ca recurrence.(Women's Health)
March 1, 2007... A new molecular test that profiles the activity of 70 genes may be especially useful for identifying women with early-stage breast cancer who are unlikely to have recurrences within 5-10 years. The MammaPrint test, developed by...

Risk for diabetes is lower in women on hormone therapy.(Women's Health)
March 1, 2007... Women considering the risks and benefits of hormone therapy should be informed of the link between hormones and a decreased risk of diabetes, especially if they are at risk for the disorder, according to Dr. Wulf Utian, executive director of...

Study finds osteoarthritis linked to hysterectomy, HT withdrawal.(Women's Health)(Brief article)(Clinical report)
March 1, 2007... PRAGUE -- Hysterectomy and the withdrawal of hormone therapy are associated with an increase in self-reported osteoarthritis, Dr. L.A. Walker and colleagues reported in a poster at the 2006 World Congress on Osteoarthritis. "Whether these...

Rings, patches broaden contraceptive options.(Women's Health)
March 1, 2007... ATLANTA -- Contraceptive rings and patches appear to have an efficacy similar to that of oral contraceptives and eliminate the need for daily pills, Joyce King, Ph.D., said at a conference on contraceptive technology sponsored by Contemporary...

New contraceptive options are in the pipeline.(Women's Health)(Brief article)
March 1, 2007... ATLANTA -- Novel contraceptives currently being developed include norprogesterone-derived progestins, new barrier methods, and combination spermicides-microbicides, Dr. Michelle Fox said at a conference on contraceptive technology sponsored by...

AAD to give its approval to selected sunscreens.(Dermatology)(American Academy of Dermatology)
March 1, 2007... WASHINGTON -- The American Academy of Dermatology will soon start giving its official imprimatur to sunscreen products that it deems worthy, outgoing AAD President Stephen Stone said at the academy's annual meeting. Two sunscreens, both...

Time in car linked to increased skin cancer risk.(Dermatology)
March 1, 2007... WASHINGTON -- People who spend a lot of time behind the wheel may be at increased risk of skin cancer, especially on the left side of the face, according to data presented in a poster at the annual meeting of the American Academy of...

Use of tanning beds linked with melanoma.(Dermatology)(Brief article)
March 1, 2007... CORONADO, CALIF. -- People who have used indoor tanning beds at some point in their lives face a modest 1.15-fold increased risk of developing cutaneous melanoma, Dr. Seaver Soon said at an update on melanoma sponsored by the Scripps Clinic....

Adalimumab clears phase III psoriasis hurdle.(Dermatology)
March 1, 2007... WASHINGTON -- Adalimumab treatment was effective in treating adults with moderate to severe chronic plaque psoriasis in a phase III study, Dr. Alan Menter reported in a poster presentation at the annual meeting of the American Academy of...

Salt dressings on wounds can ease debridement.(Dermatology)
March 1, 2007... OTTAWA -- Using salt dressings as part of a wound care protocol can help prepare the wound bed for additional treatment and enhance healing, Virginia Salter, R.N., reported at the annual conference of the Canadian Wound Care Association. ...

Glucose control key in diabetic stroke patients.(Neurology)(Clinical report)
March 1, 2007... SAN FRANCISCO -- Diabetic patients who have recently had a stroke should receive aggressive glucose and lipid management, Dr. Lee H. Schwamm said at the 32nd International Stroke Conference. Many patients with diabetes--both those newly...

Depression increases stroke risk in young and middle-aged adults.(Neurology)(Brief article)(Clinical report)
March 1, 2007... Adults under age 65 years with a history of depressive symptoms have a fourfold higher risk of stroke and transient ischemic attack, Margaret Kelly-Hayes, Ed.D., and her colleagues reported. The researchers evaluated data from the...

Poor outcomes hinder high-risk carotid stenting.(Neurology)
March 1, 2007... HOLLYWOOD, FLA. -- Carotid artery stenting has become a procedure in search of patients. Several thousand patients have now undergone carotid artery stenting (CAS) in controlled trials or as part of data-collecting registries, and the...

CMS proposes to expand its coverage for carotid stenting.(Neurology)
March 1, 2007... Officials at the Centers for Medicare and Medicaid Services are proposing to expand coverage for carotid artery stenting to patients younger than 80 years old who are at high risk for carotid endarterectomy and have asymptomatic carotid artery...

Overuse of headache drugs can be overcome.(Neurology)
March 1, 2007... SCOTTSDALE, ARIZ. -- Withdrawing patients from overused headache medications is long, hard work for them, but it can be accomplished with strong physician support, Dr. Todd D. Rozen told clinicians at a symposium sponsored by the American...

Riboflavin for migraine.(ALTERNATIVE MEDICINE)
March 1, 2007... Rationale for Use Riboflavin, or vitamin [B.sub.2], is a precursor of flavin adenine dinucleotide (FAD), a coenzyme involved in the electron transport aspect of energy metabolism. Some of the support for the use of riboflavin in...

Early migraine therapy can backfire.(Neurology)(Clinical report)
March 1, 2007... SCOTTSDALE, ARIZ. -- Early treatment of migraine can contribute to the development of medication-overuse headaches in pain-averse patients, Dr. James R. Couch warned at a symposium sponsored by the American Headache Society. These patients...

Energy drink sales top $3 billion--at what cost?(Adolescent Health)
March 1, 2007... Energy drinks are all the rage, and the media--along with the millions of people who use the drinks--are buzzing. At the same time, there has been surprisingly little research into the potential health hazards of the caffeine- and...

Among adolescents, black females have highest prevalence of overweight.(DATA WATCH)
March 1, 2007... Among Adolescents, Black Females Have Highest Prevalence Of Overweight Source: 2003 data, American Heart Association ELSEVIER GLOBAL MEDICAL NEWS

New VTE guidelines issued for primary care.(Cardiovascular Medicine)
March 1, 2007... New venous thromboembolism guidelines aimed at primary care providers emphasize the need for swift diagnosis and initial treatment with low-molecular-weight heparin over the unfractionated formulation. Issued jointly by the American College...

Hypofibrinolysis linked with increased VT risk.(Cardiovascular Medicine)(venous thrombosis)
March 1, 2007... ORLANDO -- Hypofibrinolysis is a risk factor for venous thrombosis, particularly in women, younger individuals, and those who also have Factor V Leiden, Dr. Mirjam E. Meltzer reported at the annual meeting of the American Society of Hematology....

HDL may protect against venous thrombosis.(Cardiovascular Medicine)(Brief article)
March 1, 2007... ORLANDO -- High-density lipoproteins, which are known protectors against arterial atherothrombosis, also appear to protect against recurrent venous thrombosis, Dr. Sabine Eichinger reported at the annual meeting of the American Society of...

Five reports advance drug-eluting stent debate.(Cardiovascular Medicine)
March 1, 2007... Results from five new safety analyses of drug-eluting coronary stents, compared with bare-metal stents, gave added reassurance about using drug-eluting stents for their labeled indications and framed some of the concerns about off-label use of...

New guidelines focus on heart disease in women.(Cardiovascular Medicine)
March 1, 2007... The American Heart Association's new evidence-based guidelines for preventing cardiovascular disease in women emphasize a woman's lifetime risk and provide new recommendations on aspirin, folic acid, antioxidant therapy, and hormone therapy....

Integrase inhibitors show promise in HIV therapy: at 16 weeks, 50% of the treated patients had a viral load below 50 copies/mL.(Infectious Diseases)(Clinical report)
March 1, 2007... SAN FRANCISCO -- The expected introduction of the integrase inhibitors will usher in the most exciting time in HIV treatment since the advent of highly active antiretroviral therapy, Dr. George Beatty predicted at a meeting on HIV management...

Effect of nonadherence to HIV therapy is variable.(Infectious Diseases)
March 1, 2007... SAN FRANCISCO -- Adherence to highly active antiretroviral therapy remains important, even though treatment may be more forgiving of nonadherence than some have suggested, Dr. Kristen M. Ries said at a meeting on HIV management sponsored by the...

Early treatment of HIV may be beneficial, despite uncertainties.(Infectious Diseases)(human immunodeficiency virus)
March 1, 2007... SAN FRANCISCO -- Treating a recently infected HIV patient may provide some benefit, particularly if that treatment begins before or within a few weeks of antibody seroconversion, Dr. Frederick Hecht said at a meeting on HIV management sponsored...

Experts call for wider flu vaccine coverage.(Infectious Diseases)
March 1, 2007... Despite promising advances, clinicians, hospitals, and public health officials remain largely unprepared for a global influenza pandemic similar to the one in 1918 that killed more than 50 million people worldwide, according to an expert panel...

Roche corrects last fall's Tamiflu dosing chart.(Infectious Diseases)
March 1, 2007... A pediatric dosing chart for the influenza drug oseltamivir (Tamiflu) sent by Roche Laboratories Inc. to health care providers last November contained an error and should have indicated a standard dosage of once daily--rather than twice...

Refrigerated FluMist FDA-approved for ages 5-49.(Infectious Diseases)(Food and Drug Administration)
March 1, 2007... A new formulation of intranasal influenza live virus vaccine that can be stored in a standard refrigerator, rather than kept frozen, has been approved by the Food and Drug Administration. The new formulation of the trivalent vaccine,...

Feds launch AIDS searchable Web site.(Infectious Diseases)(www.aids.gov.)(Website overview)(Brief article)
March 1, 2007... The U.S. Department of Health and Human Services has launched AIDS.gov, a searchable Web site for the public. The site provides information on HIV and AIDS research programs, prevention, testing, treatment, and federal policies and...

Community-acquired pneumonia.(THE EFFECTIVE PHYSICIAN)
March 1, 2007... Background To simplify and clarify clinical practice guidelines for the treatment of community-acquired pneumonia, the Infectious Diseases Society of America and the American Thoracic Society recently issued a joint document regarding the...

FDA scraps two Ketek indications.(Infectious Diseases)
March 1, 2007... The Food and Drug Administration has eliminated two indications for the antibiotic telithromycin and added a black box warning to its label stating the drug is contraindicated in people with myasthenia gravis. Telithromycin, which is...

Technology is revolutionizing colon imaging.(Gastroenterology)
March 1, 2007... SAN DIEGO -- Colonoscopy remains the standard for imaging the colon, but the future may rest in nonoptical techniques such as virtual colonography and colonic visualization devices such as the PillCam, Dr. P. Jay Pasricha said at a meeting...

Esophageal erosion in GERD worse in men.(Gastroenterology)(gastroesophageal reflux disease)(Brief article)(Clinical report)
March 1, 2007... BERLIN -- Women with gastroesophageal reflux disease had a lower prevalence of severe esophageal erosion than did men in an analysis of more than 6,000 patients. "The lower prevalence of severe erosive changes in women suggests they...

Study aims to improve pancreatic Ca screening.(Gastroenterology)
March 1, 2007... SAN DIEGO -- Screening for pancreatic cancer in people with a family history of the disease is not a perfect science, Dr. Marcia Irene Canto said at a meeting jointly sponsored by the AGA Institute and the Japanese Society of Gastroenterology....

FDA's $2 billion budget.(POLICY & PRACTICE)(Food and Drug Administration )(Brief article)
March 1, 2007... The Bush administration is requesting $2.1 billion for the Food and Drug Administration in fiscal 2008, a 5% increase from the previous year's request. The agency still has not received its final appropriation for fiscal 2007, so the exact...

Medicare generic drug use rises.(POLICY & PRACTICE)(Brief article)
March 1, 2007... Generic drugs accounted for 60% of the prescriptions dispensed to people who receive benefits through either Part D or Medicare Advantage plans for the first three quarters of 2006, the Centers for Medicare and Medicaid Services announced....

Edwards proposes health plan.(POLICY & PRACTICE)(Brief article)
March 1, 2007... Former North Carolina Senator and 2008 presidential candidate John Edwards is calling for universal health care but modeling his proposal after a plan that is in effect in Massachusetts. The plan would essentially require all Americans to have...

Disclosing financial conflicts.(POLICY & PRACTICE)(Brief article)
March 1, 2007... Experts from Johns Hopkins University, Duke University, and Wake Forest University have designed model language aimed at helping researchers disclose their financial conflicts to medical research participants in a meaningful way. The model...

Health IT privacy milestones.(POLICY & PRACTICE)(information management)(Brief article)
March 1, 2007... Federal health officials need to develop an overall strategy for protecting patient privacy as health information technologies take off, according to a report from the Government Accountability Office. Although the Health and Human Services...

Bush budget proposal targets Medicare, Medicaid for cuts.(Practice Trends)
March 1, 2007... The Bush administration's budget proposal for fiscal 2008 could be bad news for physicians and hospitals. The proposal, sent to Congress in early February, seeks about $600 billion in net outlays to finance the Centers for Medicare and...

Eligibility for Medicare drug benefit for low-income subsidy applicants is higher in the south.(DATA WATCH)
March 1, 2007... Eligibility for Medicare Drug Benefit for Low-Income Subsidy Applicants Is Higher in the South Note: Percentage of applicants determined eligible based on Social Security Administration data as of Nov. 17, 2006. Source: The Kaiser...

States pursue insurance mandates, transparency.(Practice Trends)
March 1, 2007... WASHINGTON -- State legislation mandating health insurance will continue, with "at least 12 more states going to debate bills to expand employer participation coverage" in 2007, according to Susan Laudicina, director of state services research...

Senate panel expresses doubts about expansion of SCHIP.(Practice Trends)
March 1, 2007... WASHINGTON -- As a Senate panel opened debate on reauthorization of the State Children's Health Insurance Program, legislators had doubts about expanding coverage to an estimated 9 million children who are eligible but have not been enrolled....

Sign up soon to get a National Provider Identifier number.(Practice Trends)
March 1, 2007... The clock is ticking for physicians to sign up for a National Provider Identifier, the new 10-digit number that will be used by Medicare, Medicaid, and many private health plans to process claims. The deadline for registering for an NPI...

In-house prothrombin monitoring cuts risks.(REINVENTING YOUR PRACTICE)(Brief article)
March 1, 2007... If you're frustrated when patients on warfarin fail to get their prothrombin times checked on schedule, Dr. Ronald Hirsch recommends that you do your own patient monitoring, in house. One patient with a prosthetic mitral valve "was supposed...

Medical animations open patients' eyes.(REINVENTING YOUR PRACTICE)(Brief article)
March 1, 2007... Internist Dr. Asif Ali was still a resident when he formed his own company with the goal of producing medical animations to help educate patients and physicians. Now, almost 2 years later, Dr. Ali is president of M.D. Trainer, a small...

Spinal fusion for back pain retains CMS coverage.(Practice Trends)(Centers for Medicare and Medicaid Services)
March 1, 2007... A Medicare advisory panel has concluded that it has low confidence in spinal fusion as a treatment for lower-back pain, but for now, the federal insurance program has no plans to deny coverage for the procedure. The Medicare Coverage...

Medicare Part D drug prices: let's make a deal.(Practice Trends)
March 1, 2007... WASHINGTON -- Rhetoric aside, it's not clear whether lifting restrictions on the government's ability to negotiate pharmaceutical prices for the Part D benefit will have any real impact, experts said at a forum on the future of Medicare...

FDA to sharpen postmarketing drug safety focus.(Practice Trends)
March 1, 2007... The Food and Drug Administration said it will beef up oversight of prescription drug safety, with a focus on risks and benefits once a product has been launched into the marketplace. The initiatives were announced in January in a...

Generic biologics still on radar screen in Congress.(Practice Trends)
March 1, 2007... A Congressional push for fast-track approval of generic biologics probably won't have any effect on insulin costs for most patients with diabetes, mainly because the types of insulins most patients use now are still on patent, according to an...

Shortage of endocrinologists expected to get even worse.(Practice Trends)
March 1, 2007... Practicing endocrinologists are in short supply in many areas of the country, and the situation only has worsened since a 2003 study that showed the national supply to be 12% lower than demand, according to several experts. There are no...

Food greasy, lungs wheezy.(INDICATIONS)(high nitrite food and chronic obstructive pulmonary disease)(Brief article)
March 1, 2007... Foods high in nitrites were associated with increased risk for chronic obstructive pulmonary disease (COPD), according to Dr. Rui Jiang of Columbia University, New York, and colleagues, who published their findings in a recent issue of the...

Got udder, brother? Blame mother.(INDICATIONS)(Brief article)
March 1, 2007... Use of shampoos or soaps containing lavender or tea-tree oils has been implicated in cases of prepubertal gynecomastia, according to a report in the New England Journal of Medicine. Derek Henley, Ph.D., and colleagues at the National Institute...