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There are only two actors in America, he told playwright David Mamet years later

The rise of accessibility to medicine in the 19th century was a beautiful thing, but it also opened the gates to a deluge of medical scams and quackery

Pugliatti said that the results show economic evidence to target appropriate public health interventions for primary and secondary prevention on modifiable lifestyle risk factors to reduce MS burden in Europe. She added that promoting a healthier lifestyle among patients and starting disease-modifying therapies early can help avoid long-term progression of MS and reduce healthcare and societal costs.