Identifying HDGC has clinical implications for both the clinician and the individuals diagnosed with this hereditary form of cancer, as they have an increased risk of gastric cancer and other malignancies. Management strategies to address the increased cancer risk include genetic counseling and testing, targeted surveillance, chemoprevention, and prophylactic surgery. Genetic testing in high-risk family members is strongly recommended. The available current data indicate the superiority of surgical prophylaxis compared with surveillance in reducing gastric cancer risk in carriers of CDH1 mutations. Surgery limitations and related adverse effects on morbidity and quality of life should always be discussed in extensive preoperative counseling. For evidence-based medical recommendation, more prospective data with appropriate surveillance protocol, longer follow-up, and quality-adjusted overall survival as endpoints are needed.

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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