Key Treatment

Treatment starts with high-dose corticosteroids in ITP patients with platelet count less than 20,000/^L and mucosal bleeding (Cines and McMillan, 2003) (SOR: B).

Splenectomy is indicated in ITP patients in whom steroids fail to sustain platelet counts greater than 30,000/^L (Nabel, 2009) (SOR: C). Patients should receive pneumococcal, H. influenzae, and meningococcal vaccines 1 to 2 weeks before splenectomy (Nabel, 2009) (SOR: C).

Patients with TTP are best treated with plasma exchange transfusions (Rock et al., 1991) (SOR: A). Patients with chronic thrombocytosis can be treated with a platelet-lowering agent such as aspirin or hydroxyurea (Harrison et al., 2005) (SOR: A).

Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

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