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Prevalence of depression and anxiety in people with inflammatory bowel disease and associated healthcare use: population-based cohort study

R.DiazR.LakshmananM.PaisP.et al (2019)

The study received funding from Wellcome, Medical Research Council, European Union Horizon 2020 Programme, the National Institutes of Health (grants U01-DK105535, U01-DK085545 and UM-1DK126185), the National Institute for Health Research Oxford Biomedical Research Centre, the Canadian Institutes of Health Research, the Novo Nordisk Foundation, Boehringer Ingelheim and Diabetes Australia

There were no conversations about her history, no guidance on what she could do differently, no sense that anyone saw her as more than a number on a scale

So again, these are not mutually exclusive, the direct route, the indirect route, but well take whatever we can get

Patients who have tried structured diet programs, fitness interventions, or behavioral modification without sustained results become stronger candidates, as this history shows commitment and reveals biological resistance to traditional approaches