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Because psoriasis precedes PsA by approximately 12 years,3 there is ample time to ask patients about symptoms of PsA and investigate and treat early in the disease process before permanent joint destruction occurs.3 This primary prevention is not undertaken in almost 60% of patients with PsA, who do not have their joints treated.3 When assessing a patient with psoriasis, no matter how severe, it is important to examine their nails and joints, ask about symptoms of PsA and provide analgesia and early referral to a rheumatologist.

For decades, the faculty at the Pritikin Longevity Center has stressed the heart-health benefits of steering clear of calorie-dense foods that are also dense with saturated fat, such as red meat, full-fat dairy products like cheese and whole milk, and tropical oils like palm oil and coconut oil. Apple cider vinegar is essentially a calorie free food, and an easy option to include as a part of any healthy diet. So when testosterone is reduced, or taken away by hormone therapy, all of these things can change.

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