Clinical Management of VHL

Clinical management of a patient with VHL requires comprehensive serial screening with regular follow-up as well as surgical intervention. Von Hippel-Lindau patients have a greater than 70% lifetime risk of CRCCs, which cause death of 15-50% of patients. Annual imaging [computed tomography (CT) and/or ultrasonography] is suggested, in addition to renal surgery. Once symptomatic, CCRCCs have already undergone metastasis and respond poorly to chemotherapy or radiotherapy. Surgical resection is also recommended for central nervous system HABs (located in the cerebellum, spine, and brain stem)

Getting Started With Dumbbells

Getting Started With Dumbbells

The use of dumbbells gives you a much more comprehensive strengthening effect because the workout engages your stabilizer muscles, in addition to the muscle you may be pin-pointing. Without all of the belts and artificial stabilizers of a machine, you also engage your core muscles, which are your body's natural stabilizers.

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