Once a diagnosis of HNPCC has been made, or the diagnosis is indeterminate based on genetic analysis, aggressive screening protocols should be implemented. Although screening programs in average-risk people prevent death from colorectal cancer, no data are available regarding the effectiveness of surveillance in hereditary colorectal cancer syndromes, as people with genetic risks are excluded from colorectal screening trials and a randomized trial with a no-screening arm for patients with genetic risk is not feasible. Observational studies performed on families with HNPCC and FAP suggest a
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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.