Education: The Key to Unlocking a Thyroid Eye Disease (TED) Diagnosis

2024-03-20T08:01:00

(BPT) – Kimberly, a dedicated teacher, avid skier, poet, and mother of two, had been struggling with thyroid issues for more than 30 years. Little did she know that her passion for teaching would soon be used both inside and outside of the classroom.

When starting college, Kimberly was determined to focus on her track career, yet her health soon started to rapidly decline. Suddenly, she had trouble sleeping and started experiencing weight and hair loss. Her fellow teammates and track coach started to worry about her health, yet when Kimberly did seek medical advice, two doctors went so far as to call her a hypochondriac and brushed her symptoms aside. Not only was Kimberly living with self-doubt and unending health concerns, but she also started experiencing issues with red, dry eyes that were unusual for her. Even when treating her eyes with gel to keep them moist, nothing could alleviate the pressure behind her eyes, which caused her frequent headaches.

In 1993, Kimberly traveled to St. Louis, Missouri, to intern with her uncle, who happened to be an ophthalmologist. Almost instantly he knew something was wrong and helped Kimberly see a doctor who diagnosed her with Graves’ disease, the most common form of hyperthyroidism.

Yet, even when her thyroid condition was finally under control, Kimberly’s eye symptoms continued to worsen. In addition to the dry eyes and redness she was experiencing, Kimberly’s eyes soon started bulging, making it difficult to look in either direction. Before long, Kimberly was only able to read one or two pages of a book before she needed a break, and fast-paced movie scenes gave her motion sickness – she started feeling hopeless.

Fast forward twenty-five years and after multiple eye lid surgeries, Kimberly learned that the eye symptoms she’d been experiencing all these years had a name: Thyroid Eye Disease (TED), which is a rare, autoimmune condition where the body’s immune system mistakenly attacks the tissue behind the eyes. TED may affect up to 50% of people with Graves’ disease and women are at a higher risk. In 2018, Kimberly sought out a TED Eye Specialist.

Treatment Options Are Available

Following many doctor visits and years of working with her TED Eye Specialist, Kimberly was pleased to learn a new treatment was available. In 2021, she was prescribed TEPEZZA® (teprotumumab-trbw) – the first and only FDA-approved prescription medicine used to treat Thyroid Eye Disease (TED), no matter if you’ve had TED for months or years. And TEPEZZA treats the source of TED, not just the symptoms. TEPEZZA is an intravenous medicine, also known as an IV medicine, meaning it is delivered through a needle in a person’s arm under supervision of a medical professional. TEPEZZA is given once every three weeks for a total of eight infusions, with a full course of treatment taking about five months.

Before starting treatment, Kimberly and her doctor talked about the risks and benefits of TEPEZZA including important safety information about infusion reactions, which can happen during or within 24 hours after your infusion of TEPEZZA. If you have a reaction while receiving TEPEZZA, your doctor or nurse will slow or stop your infusion and treat your reaction. If you have a severe infusion reaction, your doctor may stop your treatment completely. They also talked about the most common side effects of TEPEZZA like muscle cramps or spasms, nausea, hair loss, diarrhea, feeling tired, high blood sugar, hearing problems, taste changes, headache, dry skin, weight loss, nail problems, and changes in menstruation. Please read additional ISI about TEPEZZA at the end of this article.

Throughout her TEPEZZA infusion journey, Kimberly began to notice a decrease in the swelling and bulging of her eyes, and since completing treatment, the bulging and pain behind her eyes had reduced significantly. “I wasn’t sure if TEPEZZA would help with my TED symptoms since I’ve been living with the condition for so many years, but I was so relieved that it worked for me,” she said. Reading and watching movies also became comfortable again once Kimberly’s eyes returned to moving easily in all directions.

TED Education

To help others who may have been recently diagnosed, or who suspect they may be living with TED, Kimberly recommends people:

  • Advocate for yourself and your symptoms. Even if the symptoms are not visible, be vocal about what you’re experiencing and how your symptoms are affecting your day-to-day life.
  • Find a TED Eye Specialist such as an oculoplastic surgeon or a neuro-ophthalmologist. Both are trained to manage TED with eye examinations, evaluations, and treatment.
  • Find a support system among people you can relate to and surround yourself with people who can help provide comfort on your TED journey.
  • Even if you’ve been living with TED for many years, or even decades, talk to a TED Eye Specialist to see if TEPEZZA may be right for you.

Visit TEPEZZA.com to learn more and find a TED Eye Specialist near you.

USE

TEPEZZA is a prescription medicine used to treat Thyroid Eye Disease (TED), no matter if you’ve had TED for months or years.

IMPORTANT SAFETY INFORMATION

What is the most important information I should know about TEPEZZA?

Infusion reactions can happen during or within 24 hours after your infusion of TEPEZZA. If you have a reaction while receiving TEPEZZA, your doctor or nurse will slow or stop your infusion and treat your reaction. If you have a severe infusion reaction, your doctor may stop your treatment completely.

Tell your doctor or nurse right away if you have any of these symptoms during or after your treatment with TEPEZZA:

  • High blood pressure
  • Difficulty breathing
  • Fast heartbeat
  • Headache
  • Redness of the face/Feeling hot
  • Muscle pain

If you have inflammatory bowel disease (IBD), such as Crohn’s disease or ulcerative colitis, TEPEZZA may make your IBD symptoms worse. Symptoms of worsening IBD may include: an increased number of loose stools with stomach pain or cramps, and blood in your stools. After each TEPEZZA infusion, tell your doctor right away if you have worsening IBD symptoms.

TEPEZZA may cause an increase in your blood sugar. Before starting treatment with TEPEZZA, tell your doctor if you are currently being treated for diabetes, know your blood sugar is high, or have been diagnosed with diabetes. It is important for you to take your treatments and follow an appropriate diet for glucose control as prescribed by your doctor.

TEPEZZA may cause severe hearing problems including hearing loss, which in some cases may be permanent. Tell your doctor if you have any signs or symptoms of hearing problems or changes in hearing.

Before receiving TEPEZZA, tell your doctor if you:

  • Have inflammatory bowel disease (Crohn’s disease or ulcerative colitis).
  • Are currently being treated for diabetes, have been diagnosed with diabetes, or know your blood sugar is high.
  • Are pregnant or plan to become pregnant. TEPEZZA may harm your unborn baby. Tell your doctor if you become pregnant or suspect you are pregnant during treatment with TEPEZZA.
    • Women who are able to become pregnant should use an effective form of birth control (contraception) prior to starting treatment, during treatment and for at least 6 months after the final dose of TEPEZZA.
  • Are breastfeeding or plan to breastfeed. It is not known if TEPEZZA passes into your breast milk. Talk to your doctor about the best ways to feed your baby during treatment with TEPEZZA.
  • Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, dietary and herbal supplements. Know the medicines you take. Keep a list of them to show your doctor and pharmacist when you get a new medicine.

What are the possible side effects of TEPEZZA?

The most common side effects of TEPEZZA include muscle cramps or spasms, nausea, hair loss, diarrhea, feeling tired, high blood sugar, hearing problems, taste changes, headache, dry skin, weight loss, nail problems, and changes in menstruation.

This is not a complete list of all possible side effects. Tell your doctor or treatment team about any side effect you may have.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/safety/medwatch, or call 1-800-FDA-1088.

Please visit TEPEZZA.com for more information.

Jump start the spring season by getting vaccinated against this potentially serious lung disease

2024-03-20T06:01:00

(BPT) – Spring is the season of new beginnings — a time when we can finally get back outside and enjoy nature as we watch the world around us transition out of winter.

While there are many activities to enjoy this season, here are a few ideas to get you prepared for the first day of spring:

  • Go for a bike ride in your neighborhood
  • Plant a garden
  • Go bird watching
  • Enjoy a picnic with friends and family

It’s also a great opportunity to check off your health and wellness to-dos, like spring cleaning and talking to your doctor or pharmacist about pneumococcal pneumonia. It’s a potentially serious bacterial lung disease that can disrupt your life for weeks and even put you in the hospital or be life-threatening.

This is especially important for certain people at increased risk for pneumococcal pneumonia including those 65 or older or 19 or older with certain underlying medical conditions like:

  • Asthma
  • Diabetes
  • COPD
  • Chronic heart disease

If you fall into any of these at-risk groups, vaccination is one of the best ways to help protect yourself from getting pneumococcal pneumonia.

Pneumococcal pneumonia can strike at any time, in any season. There’s a misconception that you can only get pneumococcal pneumonia in the winter or during flu season, but you can get it any time of year. Vaccination is available all year round, so now is a great time to ask your doctor or pharmacist if vaccination is right for you.

Even if you’ve already been vaccinated against pneumococcal pneumonia previously, your healthcare provider may recommend another vaccination for additional protection.

Don’t wait for spring to be in full bloom — talk to your doctor or pharmacist today about pneumococcal pneumonia vaccination. Take advantage of all that this season has to offer.

You can visit knowpneumonia.com to learn more and assess your risk.

Brought to you by Pfizer.

You may be eligible for additional dose of the COVID-19 vaccine

2024-03-15T10:01:01

(BPT) – As COVID-19 continues to circulate in our communities, it has become apparent that the virus is here to stay, and that getting infected is possible year-round.

Staying up to date with your annual COVID-19 vaccination remains one of the most effective ways to protect yourself and your loved ones from COVID-19. It’s a proactive step that can significantly reduce the risk of severe illness, hospitalization and death.1 Additionally, if you’re 65 years of age and older, or someone who is immunocompromised, an additional shot may provide continued benefits.

Data has shown vaccine protection against COVID-19 wanes over time. To account for this, the United States Centers for Disease Control and Prevention (CDC) has recommended an additional dose of the COVID-19 vaccine for those with a higher risk of developing severe and long-term symptoms of COVID-19, even if they’ve already received an initial dose of the updated 2023-2024 vaccine in the fall.2

Here are the top three reasons to speak to your doctor or pharmacist about receiving an additional dose of the updated COVID-19 vaccine this spring.

1. Make no mistake, COVID-19 remains a year-round public health threat

At the start of 2024, the CDC’s National Wastewater Surveillance System reported 35 states were experiencing “very high” COVID-19 viral activity, including Texas, New York, California, Illinois and Georgia.3 In addition to the case surge, we also saw a new dominant variant, JN.1, which now accounts for approximately 62% of all currently circulating SARS-CoV-2 variants.4

Unlike the flu, COVID-19 spikes can occur at any point throughout the year. During the summer of 2023, COVID-19 hospitalization rates rose by 21.6% across the country.5 Summer heat waves can lead many to spend extended time indoors, which enables the virus to spread among people gathered together in close quarters.

As the year progresses and the COVID-19 virus evolves, it’s important that we stay up to date with the latest facts about COVID-19.

2. Vaccine protection needs to be refreshed

The virus that causes COVID-19 is always changing, and COVID-19 vaccination or protection from infection wanes over time. Receiving an updated 2023-2024 COVID-19 vaccine can restore and provide enhanced protection against the variants currently responsible for most infections and hospitalizations in the United States.6

For adults aged 65 years and older, and those living with a compromised immune system, it may be helpful to receive a second dose of the vaccine at least two months after their previous dose or three months after recovering from a COVID-19 infection.7

“Data continues to show the importance of vaccination to protect those most at risk for severe outcomes of COVID-19,” said Dr. Jacqueline Miller, Senior Vice President, Therapeutic Area Head, Infectious Diseases, at Moderna. “An additional dose of the updated COVID-19 vaccine may restore protection that has waned since a fall vaccine dose for those who are at an increased risk of complications from a COVID-19 infection.”

3. Chronic conditions like hypertension can increase the risk of severe symptoms, and may lead to Long Covid

Long Covid is more common than many people realize. One in five adults have reported experiencing a continuation of COVID symptoms, including the development of fatigue and shortness of breath.8 According to research by the CDC,9 some other common symptoms include brain fog, difficulty concentrating, memory issues, sleep disturbances, anxiety and depression.

Those who are older or living with a compromised immune system are at a greater risk of developing Long Covid or severe symptoms from COVID-19 infection.10 Specifically, high blood pressure is the most common condition associated with hospitalization from COVID-19.

Older people and those who have conditions like heart disease, high blood pressure and diabetes are more than twice as likely to develop Long Covid, according to Dr. Philip Levy, Professor of Emergency Medicine at Wayne State University. “It’s critically important to get vaccinated and to get updated vaccines so you stay protected,” he said.

Vaccines are the first line of defense against COVID-19. Consult with your doctor and get an additional vaccine today. Visit Vaccines.gov to find a location near you.

References

1. Centers for Disease Control. “How to Protect Yourself and Others.” Updated July 6, 2023. Accessed March 11, 2024. https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/prevention.html#vaccines

2. Centers for Disease Control. “Older Adults Now Able to Receive Additional Dose of Updated COVID-19 Vaccine.” Updated February 28, 2024. Accessed March 11, 2024. https://www.cdc.gov/media/releases/2024/s-0228-covid.html

3. Centers for Disease Control. “COVID-19 Current Wastewater Viral Activity Levels Map.” Updated December 7, 2023. Accessed January 24, 2024. https://www.cdc.gov/nwss/rv/COVID19-currentlevels.html

4. Centers for Disease Control. “COVID-19 Activity Increases as Prevalence of JN.1 Variant Continues to Rise.” Updated January 5, 2024. Accessed March 11, 2024. https://www.cdc.gov/ncird/whats-new/JN.1-update-2024-01-05.html#

5. American Medical Association. “Questions patients may have about this “hot COVID summer.” Accessed March 11, 2024. https://www.ama-assn.org/delivering-care/public-health/questions-patients-may-have-about-hot-covid-summer

6. Centers for Disease Control. “COVID-19 Vaccine Effectiveness.” Updated February 1, 2024. Accessed March 11, 2024. https://www.cdc.gov/ncird/whats-new/covid-19-vaccine-effectiveness.html

7. Centers for Disease Control. “COVID-19 Vaccines for People Who Are Moderately or Severely Immunocompromised.” Updated March 8, 2024. Accessed March 11, 2024. https://www.cdc.gov/coronavirus/2019-ncov/vaccines/recommendations/immuno.html

8. Centers for Disease Control. “Nearly One in Five American Adults Who Have Had COVID-19 Still Have “Long COVID.” Updated June 22, 2022. Accessed March 11, 2024. https://www.cdc.gov/nchs/pressroom/nchs_press_releases/2022/20220622.htm

9. Ford ND, et al. Long COVID and Significant Activity Limitation Among Adults, by Age — United States, June 1–13, 2022, to June 7–19, 2023. MMWR Morb Mortal Wkly Rep 2023;72:866–870.

10. National Institutes of Health. “Long COVID.” Accessed 11, 2024. https://covid19.nih.gov/covid-19-topics/long-covid

How One Woman Took Action After a Devastating Cancer Diagnosis

2024-03-15T07:01:00

(BPT) – Marsha Semon was only 41 when her world turned upside down. She was a busy mom of two young children, working full time, when she began experiencing severe stomach pains.

“It got to the point where it felt like knives in my stomach,” said Marsha.

In August 2016, she had a colonoscopy, which revealed an obstruction. After a biopsy, her doctor diagnosed her with colon cancer. She was shocked.

“I had no family history of any type of cancer. I exercised and ate well. Cancer wasn’t supposed to happen to me, but it did,” said Marsha. “It’s a bizarre experience, especially as a young person.”

In fact, colorectal cancer is becoming more common in those who are Marsha’s age. It is the third most common cancer worldwide, and the percentage of people younger than age 55 diagnosed with colorectal cancer nearly doubled from 11% (1 in 10) in 1995 to 20% (1 in 5) in 2019. It is now the first-leading cause of cancer death in men under 50 and the second-leading cause of cancer death in women under 50.

Marsha underwent surgery to remove part of her colon and had 12 grueling rounds of chemotherapy. At the end of the treatment, she was given a clean bill of health and thought she could finally put the nightmare behind her.

Unfortunately, blood work and a PET scan shortly thereafter confirmed there was a large tumor in her liver — which ultimately happens to as many as 60% of all people diagnosed with colorectal cancer — and her cancer diagnosis was changed to Stage 4.

Marsha was referred to a liver surgeon, who recommended liver resection, a surgery to immediately remove the tumor that had been seen in her scan. But through a friend, she learned about a treatment approach called Hepatic Artery Infusion (HAI) therapy, which uses an implantable pump to deliver medicine directly to tumors within the liver. Clinical studies have shown that adding HAI therapy to systemic chemotherapy may help reduce tumor size, improve disease control in the liver, and increase the likelihood that tumors in the liver could be removed. Studies have also demonstrated that HAI therapy may prevent or delay recurrence after tumor removal and increase survival.

Marsha learned that her friend, who had been diagnosed with colorectal cancer many years prior, had received HAI therapy, and subsequently her friend had been considered to have no evidence of disease for over eight years.

Marsha asked her liver surgeon about HAI therapy and was told it was “overtreatment” in her case, because her tumor was already operable. Concerned with the statistic that a majority of patients will experience tumor recurrence within two years following surgery, she decided to seek a second opinion. The second surgeon strongly recommended liver resection with HAI therapy together and went on to explain the treatment and its history in detail. Marsha went home and read up on the data behind HAI therapy and decided to move forward.

Marsha had an HAI pump implanted in May 2017 along with a liver resection. She had five pump treatments, along with systemic chemotherapy, over six months, and was done with pump treatments by the end of 2017. During the time she was receiving HAI therapy, Marsha noted that she was able to maintain her activities as HAI doesn’t add systemic side effects like she experienced with traditional chemotherapy.

“I wanted to do everything in my power to stay alive for my kids and put this disease behind me, and I knew unequivocally that HAI therapy gave me my best chance,” said Marsha.

Marsha recently ran into her former doctor who had originally discouraged HAI therapy. She told Marsha that HAI therapy had been the right decision.

Today, eight years later, Marsha is no longer in treatment, her scans continue to be clear, and she is enjoying life to the fullest with her family, including recent “once-in-a-lifetime” trips to Spain, Colombia, and Italy. In addition to travel, she continues to work full-time and give back to the cancer community.

Marsha is passionate about supporting other patients, and she gives advice for others facing colorectal cancer with spread to the liver:

  • “Connect with others on a similar journey. It can be really helpful to talk with peer communities to understand how to reconcile how different doctors are saying different things. I co-founded a Facebook group called Liver Mets from CRC to connect people with colorectal cancer whose disease has spread to the liver, helping to provide them with information and perspective like I was fortunate enough to receive years ago.”
  • Don’t be afraid to ask questions and seek other opinions. I don’t like to think about where I might be had I not sought a second opinion and been able to get HAI therapy.”
  • “Talk to an HAI specialist about HAI therapy and if it may be right for you. I am eternally grateful to the doctors and the research that gave me access to this impactful therapy that I believe has given me the best possible chance of survival.”

Since 2019, the number of cancer centers offering HAI therapy nationwide has more than tripled, making HAI available to more patients closer to their homes. It is now available at more than 65 medical centers across the United States, including nine of the top ten U.S. cancer centers.

To learn about the benefits and risks of HAI therapy and to see if it is right for you, get in touch with an HAI Nurse Navigator who can help answer your questions and connect you with an HAI specialist near you.

You can learn more about Marsha’s experience here, which was unique to her. Individual results may vary. See full safety information here.

The Intera 3000 Hepatic Artery Infusion Pump is indicated for the continuous arterial administration of Cerona Therapeutics Floxuridine for Injection, USP, heparinized saline, and glycerin. The approved labeling for Cerona Therapeutics Floxuridine for Injection, USP stipulates the indications, contraindications, and warnings for use of the drug in the pump. The Intera 3000 Hepatic Artery Infusion Pump is contraindicated for use in patients with extensive extrahepatic disease or limited hepatic function. Possible adverse events of the pump are those potential risks associated with any implanted drug delivery device and include: catheter thrombosis, vessel thrombosis, pump dislodgement, seroma, or recurrent hematoma, infection, extravasation, catheter shear, dislodgement or leakage, migration, arterial pseudoaneurysm, arterial dissection, and extrahepatic perfusion.

Caution: Federal law (USA) restricts this device to sale by or on the order of a physician. Please review the full safety information at https://www.interaoncology.com/patients-caregivers/hai-therapy/safety-information.

Experts share 6 bathroom trends to look for in 2024

2024-03-15T06:01:00

(BPT) – The bathroom is arguably the most frequented space in most homes. As the place where we begin and end our daily routines, this space is a vital hub for our lives. Recognizing this, an increasing number of homeowners are now focusing on unlocking the full potential of their bathroom spaces, aiming to create an enjoyable and functional environment that will stand the test of time.

In light of high interest rates and rising home costs, more homeowners are staying in their current homes and opting to refresh or remodel their bathroom spaces to better fit their lifestyle and personality and add value to their homes. As we head into spring, the busy season for remodeling, the bathroom pros at TOTO have compiled the top bathroom trends for 2024 based on third-party expertise and consumer demand.

“There is no better investment in your home than updating your bathroom with the latest technology to create not only a spa-like experience but also ensure your independence and dignity as you age in style,” said Lisa Cini, President and CEO of Mosaic Design Studio.

1. Focus on wellness

In a post-pandemic era where self-care has become an increasingly important aspect of people’s lives, bathroom upgrades are fantastic ways to enhance their personal well-being. For instance, bidet-equipped toilets optimize hygiene, cleanliness, and comfort for people of all ages. Bidet seats are an easy DIY project that can truly transform the health and wellness of the whole family. Other self-care features being added to bathrooms include invigorating showers and baths with unique features that promote recovery and relaxation, allowing users to unwind from the stress of their daily lives.

2. Stylish living in place

Whether it’s for a multigenerational home or to refresh to accommodate living in place, homeowners are looking to future-proof their homes with stylish yet functional upgrades. This means adding elements to the bathroom that support aging and accessibility, like adjustable height wall-hung toilets with bidets, widened doorways, accessibility lighting, beautiful non-slip floors, and grab bars with designer finishes. These add age-friendly functions that provide increased independence while looking chic rather than institutional, like a hospital or nursing home.

3. Spa-like experiences

A big trend for 2024 is bringing spa-like experiences into the bathroom. These include renovations like walk-in showers with multiple shower heads, body sprays, and rain showers like TOTO’s GB Shower Series. Other luxurious upgrades include steam showers, sound systems, heated benches, and towel warmers. Many designers are creating wet rooms that feature soaking tubs as ways to promote relaxation and rejuvenation, offering personal getaways for homeowners in their own bathrooms.

4. Bathroom technology integration

High-tech Japanese-style toilets and electronic bidet seats are leading the charge in bathroom tech for 2024. Americans are asking for toilets that offer cleanliness and comfort. In addition to luxury features like warm water cleansing and warm-air drying, heated seats, and automatic open/close lids, top-of-the-line models like the TOTO NEOREST WX1 smart bidet toilet and WASHLET S7A bidet seat have self-cleaning features that use electrolyzed water to clean the bowl, bidet wand and under the seat, reducing the need for frequent cleaning. Other popular tech upgrades for the bathroom include the introduction of smart technology into everyday items like mirrors, faucets, and showers.

5. Sustainability features

Saving water, conserving energy, and reducing waste have become a high priority for homeowners. They are achieving this by adding shower timers, LED lighting, and refillable shower dispensers to their bathrooms. Others are swapping water-guzzling toilets for dual flush models that use up to 25 percent less water. Bidets also help to reach eco goals by reducing the need for toilet paper by 75%. Models with cleaning and advanced flushing features cut down the need for using harsh chemicals to clean the bathroom, which aids the planet’s health.

6. Personalization by design

Whether it’s to refresh, relax, cleanse, or energize, the bathroom should be a place where you feel perfectly comfortable being yourself. More people are opting to incorporate design elements that reflect their individual style, moving away from cyclical design trends. Adding a personal touch by choosing bold metallic fixture finishes, adding natural textures like stone and wood, and incorporating color into walls and accessories allows homeowners to create bathroom spaces that truly reflect their personalities.

Whether you are planning a quick bathroom revamp or a full remodel, let these expert trends inspire you to transform your bathroom into a highly personalized space that fits your lifestyle, adding comfort and value to your home. To learn more visit TOTOUSA.com.

Don’t let acne get you down! See a dermatology professional

2024-03-13T05:01:00

(BPT) – Acne, one of the most common skin conditions, is often uncomfortable and can negatively impact a person’s self-esteem. As with any chronic medical condition, it’s a good idea to see a medical practitioner if you’re concerned about acne. But if you haven’t yet seen a dermatology professional, you are not alone.

A survey of 1,003 people with mild-to-moderate acne, conducted by Sun Pharmaceutical Industries, Inc. (Sun Pharma), found that only 3 out of 10 people with mild-to-moderate acne report having seen a dermatologist. Instead of seeing a professional — a dermatologist, physician’s assistant (PA), or nurse practitioner (NP) — many acne sufferers seek skin care advice from search engines (45%) or friends and family (43%), while some use social media platforms like TikTok and Instagram for this purpose (20%).

“We see teenagers and even older adults putting all sorts of things on their face based on misinformation, which can in some cases cause damage to the skin barrier that can take months to repair,” said Renata Block, a survey adviser and a board-certified PA specializing in dermatology. “Treating acne is highly individualized. Only a licensed medical professional can provide an accurate diagnosis and a research-backed treatment plan.”

Why should I see a professional?

Did you know that there’s a lot of activity inside your skin that leads to the pimples you eventually see and feel? A key contributor to acne breakouts is sebum, an oily wax made by the sebaceous glands in your pores. Bacteria in your skin feed off excess sebum, multiply and eventually clog your pores, leading to additional inflammation and breakouts.

A dermatology professional will assess your acne severity, type of skin, lifestyle and other factors, and will use that assessment to develop a treatment plan that’s right for you.

Surprisingly, while 9 out of 10 survey respondents said they rely on over-the-counter (OTC) medications to prevent acne, fewer than 1 in 5 said they’d been very successful in preventing acne breakouts with non-prescription medication. Just as with any other medical condition, you may need a prescription medication to effectively prevent and treat even mild-to-moderate acne.

“There are good products you can get off a drugstore shelf, but they don’t address the underlying causes of acne and there’s no one-size-fits-all skin care regimen that works for everyone,” said Dr. Hilary Baldwin, a board-certified dermatologist who served as an advisor to the Sun Pharma survey. “We have to look at each patient’s situation, such as their age and life stage, gender, lifestyle, and other parameters, to come up with a simple but effective skin care regimen that they can realistically follow.”

What types of acne treatments are available?

A dermatology professional may prescribe OTC and/or prescription therapies to treat acne, but each person’s case is unique. OTC products typically contain benzoyl peroxide, salicylic acid or retinol, all of which are used in different ways. There are also prescription-strength versions of these topical (applied to the skin) treatments, as well as oral therapies.

While these treatments can be effective, your acne may need a different approach. WINLEVI® (clascoterone cream) 1% is the first and only topical acne treatment that, unlike other topical medications, targets the sebum in your skin. Instead of just treating the signs and symptoms, it treats the underlying cause of acne, thereby helping to control the condition.

What to do once you have a skin care routine?

Once you have a skin care routine prescribed by a dermatology professional, it’s up to you to follow it. For treatments like WINLEVI that need to be applied twice a day, plan to use them when you know you won’t forget.

With any new acne treatment, you may not see results right away; your skin may look worse for a short time, and it may take a month or more to see a difference. Stick with what your healthcare provider recommends and reach out to them if you have any questions or concerns.

Be intentional and work skin care into your schedule. For example, you can keep your skin care products and medications near the bathroom mirror to help you remember to use them. In between brushing your teeth and combing your hair, wash your face, apply or take your prescription acne medications, moisturize and apply sunscreen (in the morning). Easy enough!

After a few weeks of adhering to your skin care routine every morning and evening, it will become second nature. More importantly, your skin will benefit from consistent, careful attention.

Good skin doesn’t happen by accident. Visit Winlevi.com to find a dermatologist near you.

IMPORTANT SAFETY INFORMATION

INDICATION

What is WINLEVI® cream?

WINLEVI (clascoterone) cream 1% is a prescription medicine used on the skin (topical) to treat acne vulgaris in people 12 years of age and older.

It is not known if WINLEVI cream is safe and effective in children under 12 years of age.

IMPORTANT PATIENT INFORMATION

Before using WINLEVI cream, tell your healthcare provider about all of your medical conditions, particularly if you:

  • have skin problems, including eczema, cuts or sunburn
  • are pregnant or plan to become pregnant. It is not known if WINLEVI cream will harm your unborn baby
  • are breastfeeding or plan to breastfeed. It is not known if WINLEVI cream passes into your breast milk. Talk to your healthcare provider about the best way to feed your baby during treatment with WINLEVI cream

WINLEVI cream is for use on the skin only (topical). Do not use WINLEVI cream in or on your eyes, mouth, or vagina. Do not use WINLEVI cream for a condition for which it was not prescribed. Do not give WINLEVI cream to other people, even if they have the same symptoms you have. It may harm them.

WHAT ARE THE POSSIBLE SIDE EFFECTS OF WINLEVI CREAM?

WINLEVI cream can cause serious side effects, including:

  • local skin reactions. WINLEVI cream may cause local skin irritation including itching, burning, skin redness or peeling.
  • symptoms of a disorder where the adrenal gland does not make enough of certain hormones (adrenal insufficiency) during treatment with WINLEVI. Your healthcare provider may stop your treatment with WINLEVI if you develop any adrenal problems.

The most common side effects of WINLEVI cream include reddening, scaling or dryness, and itching of the skin being treated.
These are not all of the possible side effects of WINLEVI cream.
Tell your healthcare provider about the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

Call your healthcare provider for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or to Sun Pharmaceutical Industries, Inc. by calling 1-800-818-4555.

Please see full Prescribing Information and the Patient Information.

WINLEVI is a registered trademark of Cassiopea S.p.A. used under exclusive license.

©2024 Sun Pharmaceutical Industries, Inc. All rights reserved.

Produce prescriptions hold potential to change consumer, community health

2024-03-06T13:31:00

(BPT) – “Let food be thy medicine and medicine be thy food.”

“An apple a day keeps the doctor away.”

Whether a quote often attributed to Greek physician Hippocrates or a rhyme many of us learned in our youth, the connection between the foods we eat and their effects on our physical health has always been generally understood but not necessarily followed.

In recent years, this disconnect has resulted in dramatically increased rates of diet-related diseases, including obesity and diabetes. Driving both conditions is poor diet, which annually contributed to more than 14.1 million cases of type 2 diabetes alone.

Since the pandemic, researchers have found Americans’ physical and mental health has fallen, with more individuals reporting diabetes diagnoses, less healthy eating, and other health problems. Roughly two-thirds of Americans are currently overweight or obese.

These diseases burden our healthcare system, where 8 out of 10 healthcare dollars are spent on chronic, preventable diseases.

In response to these epidemics of diet-related disease, interventions like produce prescriptions, or Produce Rx, have been introduced to some health care providers and the communities they serve.

People who care about their health have wanted to know — what is a produce prescription?

A patient gets an actual prescription from their doctor for a fruit and vegetable benefit on a card or voucher that can be redeemed at a participating grocery store. This benefit is typically refillable monthly and is covered by health insurance at no or low cost to the patient. Currently there are 250 produce prescription programs operating in 38 states.

More than 150 million Americans are covered by federal insurance programs and if embedded as a covered benefit into the federal health system, produce prescriptions could reach millions of eligible Americans.

While some critics say produce prescriptions are merely a passing trend, data exists that show Produce Rx is both economically feasible and effective, as well as much more natural than a traditional prescription from a doctor.

Tufts University found produce prescriptions for 40- to 79-year-olds facing diabetes could prevent 296,000 cases of cardiovascular disease over their lifetimes.

Another study found that produce prescription program participants consumed more fruits and vegetables and reduced food insecurity. They also self-reported health status among both adults and children and found the program resulted in a wide array of improvements across several metabolic health markers, boosting long-term health.

From a community perspective, a nonprofit in North Carolina took a $500,000 produce prescription grant and turned it into $8 million in redemption of fruits and vegetables in a little over a year. Lower-income consumers in the impacted market are now doubling their spend on fruits and vegetables.

The International Fresh Produce Association, a global organization leading the fresh fruit and vegetable industry, is working to scale produce prescriptions on several fronts.

As part of IFPA’s work to support the U.S. National Strategy on Hunger, Nutrition, and Health, the association developed a video distributed to medical schools and more than 5 million student/medical professionals worldwide to help them understand how they can prescribe fruits and vegetables to their patients (in addition to any medications needed) to manage symptoms of chronic disease.

Produce prescription programs hold great promise to help more consumers eat more fresh fruits and vegetables to optimize their health and enjoy lives filled with vitality and vibrancy.

Wear contact lenses? 5 questions to discuss with your eye doctor

2024-03-05T10:45:00

(BPT) – Whether you spend long hours working in front of a computer or have difficulty reading signs when driving at night, finding a contact lens may be as easy as answering five questions.

“The best contact lenses for you will depend on several factors such as your prescription and the type of lenses that suit your lifestyle,” according to Erin Rueff, OD, PhD, FAAO, chief, Cornea & Contact Lens Services, Southern California College of Optometry.

“While this quiz may help you in your search for contact lenses that meet your needs, it’s important to schedule an eye exam as only an eye doctor can assess your eye health and recommend the appropriate treatment for your individual needs,” added Dr. Rueff. If it has been a while, find a doctor near you here.

1. Do you spend a lot of time on digital devices?

Well, who doesn’t? But, did you know that adults spend 13+ hours a day on digital devices, a 35% increase since 2019? From scrolling on a smart phone to working on a laptop, when looking at a digital screen, you blink 60% less, which can dry out your eyes. Blue-violet light is everywhere, coming from screens, fluorescent light and the sun and scatters more which may result in decreased visual clarity.*

If you’re one of the many people who are dependent on your digital device, then you may consider ACUVUE® OASYS MAX 1-Day with TearStable™ Technology, designed to maximize tear-film stability and lock in moisture. These lenses also filter about 60% of blue-violet light.[*]

2. Do you have trouble seeing far away?

Myopia, or nearsightedness, is a chronic, progressive disease in which the eye grows too long and makes it difficult to see objects far away. Myopia is common in children and is often diagnosed between ages 8 and 12 but can develop earlier. In fact, on average one in three kids in the U.S. have myopia. Abiliti™ Overnight Therapeutic Lenses have shown to be successful for myopia management. These lenses are worn overnight and temporarily reshape the cornea, typically eliminating the need to wear glasses or contacts during the day.[†]

3. Do you have trouble seeing up close?

If you’re over 40, you may have presbyopia. This means you can see things far away but not up close. Spoiler alert! If you squint or pull out the light on your phone to read a menu, then you may have presbyopia. A great option for the 40+ crowd is ACUVUE® OASYS MAX 1-Day MULTIFOCAL contact lenses. These lenses are designed for crisp, clear vision at all distances and in all lighting conditions plus all-day comfort.

4. Are you active and always on the go?

Whether you’re training for your next marathon or juggling work and kids, your days are packed with activities. When you need clear vision to help you get through the day, the last thing you want to worry about is your contacts. Another great option is 1-DAY ACUVUE® MOIST contact lenses, which can help keep your eyes hydrated and feeling fresh. With LACREON® Technology, these lenses create a long-lasting cushion of moisture for 20 hours or more.

5. Do you have astigmatism?

*Always wash your hands when handling contact lenses

If you have astigmatism, a common imperfection in the curvature of the eye that causes blurred or distorted vision at all distances, then you may consider ACUVUE® OASYS 1-DAY for ASTIGMATISM Brand Contact Lenses designed with HydraLuxe® Technology. These daily contacts are specifically designed for people with astigmatism and help to provide clear, consistent, stable vision all day long.

Important Information for Contact Lens Wearers

ACUVUE® Contact Lenses are available by prescription only for vision correction. An eye care professional will determine whether contact lenses are right for you. Although rare, serious eye problems can develop while wearing contact lenses. To help avoid these problems, follow the wear and replacement schedule and the lens care instructions provided by your eye doctor. Do not wear contact lenses if you have an eye infection, or experience eye discomfort, excessive tearing, vision changes, redness or other eye problems. If one of these conditions occurs, remove the lens and contact your eye doctor immediately. For more information on proper wear, care and safety, talk to your eye care professional and ask for a Patient Instruction Guide, call 1-800-843-2020, or download the Patient Instruction Guide.

ACUVUE® Abiliti™ Overnight Therapeutic Contact Lenses are available by prescription only for the management of myopia. An eye care professional will determine whether these contact lenses are right for you. Although rare, serious eye problems including vision loss and blindness can develop while wearing contact lenses. To help avoid these symptoms, follow the wear and replacement schedule and the lens care disinfection instructions provided by your eye care professional. Do not wear these contact lenses if you have an eye infection, or experience eye discomfort, excessive tearing, vision changes, redness or other eye problems. If one of these conditions occurs, remove the lens and contact your eye doctor immediately. For more information on proper wear, care and safety, talk to your eye care professional and review the Patient Instruction Guide, call 1-877-334-3937, or visit www.seeyourabiliti.com.


[*] Filtering of HEV light by contact lenses has not been demonstrated to confer any health benefit to the user, including but not limited to retinal protection, protection from cataract progression, reduced eye strain, improved contrast, improved acuity, reduced glare, improved low light vision, or improved circadian rhythm/sleep cycle. The Eye Care Professional should be consulted for more information.

[†] The lenses are indicated for reducing refractive error up to 6.00D of myopia and up to 1.50D of astigmatism. Results may vary by patient and prescription level.

Debunking colonoscopy myths: The truth behind the life-saving procedure

2024-03-05T09:21:00

(BPT) – Your doctor just recommended you have a colonoscopy and you’re suddenly struck with a feeling of dread. No one looks forward to having a colonoscopy, but due to numerous myths and misconceptions, many people are unnecessarily worried and delay a screening that could ultimately save their life.

A colonoscopy is a routine procedure that lets doctors get a closer look at the health of the colon and rectum. This important procedure screens for colorectal cancer, the second leading cause of cancer death overall in the United States, according to “Cancer Statistics, 2023” in the American Cancer Society’s (ACS) journal CA: A Cancer Journal for Clinicians.

“Detecting colorectal cancer early means it’s more likely to be treatable,” said Dr. Douglas K. Rex, M.D., Distinguished Professor Emeritus at Indiana University School of Medicine and a full-time practicing clinical gastroenterologist. “Don’t delay getting a colonoscopy. In addition to detecting cancer, this important procedure helps screen for other diseases and conditions such as polyps, ulcers, colitis, diverticulitis and more.”

Dr. Rex says many people who delay a colonoscopy realize their worries were unfounded after it’s complete. He shares some of the top misconceptions about colonoscopies and the truths to put your mind at ease in hopes more people will schedule this potentially life-saving procedure.

Myth: No symptoms mean you don’t need a colonoscopy

Fact: It’s tempting to skip a colonoscopy if you don’t have any symptoms. However, lack of symptoms doesn’t necessarily mean your colon is healthy. For example, colon polyps can grow without any symptoms, and they may turn into cancer if not treated properly. Regular colonoscopies are recommended for anyone 45 and older, regardless of the presence of symptoms, because early detection makes treatment possible.

Myth: The prep for a colonoscopy is difficult

Fact: There’s no getting around it the preparation for a colonoscopy can be unpleasant. However, you no longer need to force yourself to drink a gallon of unpleasant liquid in order to clear your bowels ahead of a colonoscopy. FDA-approved SUFLAVE™ is a low-volume, safe and effective colonoscopy preparation — with a taste similar to a lemon-lime sports drink. The sports drink like taste and lower volume makes for an improved patient experience when preparing for a successful procedure. Ask your doctor about SUFLAVE™ and learn more at Suflave.com.

Myth: Colonoscopies are painful

Fact: A doctor will provide you with a sedative to make you sleepy and relaxed. Once you’re asleep, air is used to expand the colon so the doctor can look at all the interior walls with a tool called an endoscope. Because the colon has no nerve endings, even if polyps are removed, it doesn’t cause pain.

Myth: A polyp indicates cancer

Fact: After your colonoscopy you may learn that the doctor removed polyps. Polyps are noncancerous but they can lead to cancer, so it’s important to have these removed and sent to a laboratory for further testing.

Myth: The procedure and recovery take lots of time

Fact: You’ll be asked to check in for your colonoscopy appointment about an hour before the procedure. The test itself only takes about 30 minutes to complete. You’ll need about another hour to recover from the sedative at the clinic and will need someone else to drive you home once you’re released. Plan to lay low the rest of the day to allow the sedative to fully wear off.

“A colonoscopy takes a bit of time, but it’s a worthwhile investment in your health. Knowing the facts and having access to new options like SUFLAVE™, can improve the prep experience and can make you feel better about getting this important screening done,” said Dr. Rex.

IMPORTANT SAFETY INFORMATION

SUFLAVE(polyethylene glycol 3350, sodium sulfate, potassium chloride, magnesium sulfate, and sodium chloride for oral solution) is an osmotic laxative indicated for cleansing of the colon in preparation for colonoscopy in adults.

DOSAGE AND ADMINISTRATION: A low residue breakfast may be consumed on the day before colonoscopy, followed by clear liquids up to 2 hours prior to colonoscopy. Administration of two doses of SUFLAVE are required for a complete preparation for colonoscopy. Each bottle must be reconstituted with water before ingestion. Each bottle and one flavor-enhancing packet are equivalent to one dose. An additional 16 ounces of water must be consumed after each dose. Stop consumption of all fluids at least 2 hours before the colonoscopy.

CONTRAINDICATIONS: Use is contraindicated in the following conditions: Gastrointestinal obstruction or ileus, bowel perforation, toxic colitis or toxic megacolon, gastric retention, hypersensitivity to any ingredient in SUFLAVE.

WARNINGS AND PRECAUTIONS: Risk of fluid and electrolyte abnormalities: Encourage adequate hydration, assess concurrent medications and consider laboratory assessments prior to and after each use; Cardiac arrhythmias: Consider pre-dose and post-colonoscopy ECGs in patients at increased risk; Seizures: Use caution in patients with a history of seizures and patients at increased risk of seizures, including medications that lower the seizure threshold; Colonic mucosal ulcerations: Consider potential for mucosal ulcerations when interpreting colonoscopy findings in patients with known or suspected inflammatory bowel disease; Patients with renal impairment or taking concomitant medications that affect renal function: Use caution, ensure adequate hydration and consider laboratory testing; Suspected GI obstruction or perforation: Rule out the diagnosis before administration; Patients at risk for aspiration: Observe during administration; Hypersensitivity reactions, including anaphylaxis: Inform patients to seek immediate medical care if symptoms occur.

ADVERSE REACTIONS: Most common adverse reactions (> 2%) are: nausea, abdominal distension, vomiting, abdominal pain, and headache.

DRUG INTERACTIONS: Drugs that increase risk of fluid and electrolyte imbalance.

See Full Prescribing Information and Medication Guide

2024 Braintree Laboratories, Inc. 550-853-v1 February 2024

Choosing the right weight management medication to best suit your health goals

2024-03-05T08:01:00

(BPT) – Struggling with weight loss is a problem everyone is familiar with – either they themselves or someone close to them has faced challenges in maintaining a healthy weight. Obesity is a disorder involving excessive body fat that increases the risk of health problems.1 A common, serious and costly chronic disease that affects adults and children, obesity is on the rise in the United States.2 About one-third of Americans suffer from obesity.2 Many have other chronic, expensive medical conditions, such as heart disease, diabetes and arthritis.2

“Obesity is a disease caused by many factors, including eating patterns, physical activity levels, sleep routines and genetics,3” said Dr. Anthony Auriemma JD, FOMA, obesity medicine specialist at Ascension Medical Group Illinois. “There is no one size fits all approach to treating obesity, which is a complex condition. While lifestyle intervention is the basis of treatment, it is important to consider the new therapies FDA approved for chronic weight management.4

Obesity is a chronic condition that requires long-term commitment to treatment.5 It’s important to consider the range of options as some therapies may be more appropriate than others to help manage weight loss in people with diabetes or cardiovascular disease.5 In addition, the benefits of weight loss through medication have been shown to have positive effects on managing other diseases such as high cholesterol, sleep apnea, and heart disease.6

“When treating obesity, it’s essential to consider the specific challenges of each person,” said Dr. Anthony Auriemma JD, FOMA. “Many new therapies are now available; It’s essential to look beyond the hype and, together, carefully evaluate the various options before committing to a weight loss strategy.5 Specifically, people in partnership with their physician should consider efficacy, safety, ease-of-use, and financial cost when choosing an option that best supports achieving and maintaining healthy weight goals.5

Amid this growing health crisis, there has been much attention focused on recently introduced glucagon-like peptide-1 (GLP-1) agonists, like semaglutide.5 Experts caution these GLP-1 medications may not be suitable for the full range of people struggling with weight loss, and a person or patient should consider the option that best aligns with their individual healthy weight goals.5

The good news is there are a number of proven medications for patients who suffer from obesity and are overweight.5 For example, Qsymia® (phentermine and topiramate extended-release capsules) CIV in combination with a reduced-calorie diet and exercise has been proven to help adults and children ages 12 to 17 lose weight and maintain weight loss.7 The once-daily pill is covered by the majority (81%) of commercial healthcare plans and is indicated for long-term use.8

“Obesity continues to threaten the overall well-being of those affected and is a major public health concern – and no one pill will completely reverse the situation,5” said Dr. Anthony Auriemma JD, FOMA. “Take the time to learn about each option with your physician. Remember, weight-loss medications may take time to show noticeable results.5 Be patient and stay committed to your overall weight-loss plan.”

Sponsored by VIVUS LLC.

Dr. Anthony Auriemma JD, FOMA, obesity medicine specialist at Ascension Medical Group Illinois, is a paid consultant of VIVUS LLC.

About QSYMIA

QSYMIA is a combination of phentermine, a sympathomimetic amine anorectic, and topiramate, indicated as an adjunct to a reduced-calorie diet and increased physical activity for chronic weight management in adults with an initial body mass index (BMI) of 30 kg/m2 or greater (obese) or 27 kg/m2 or greater (overweight) in the presence of at least one weight related comorbidity such as hypertension, type 2 diabetes mellitus, or dyslipidemia. QSYMIA may also be used in pediatric patients aged 12 years and older with BMI in the 95th percentile or greater standardized for age and sex.

The effect of QSYMIA on cardiovascular morbidity and mortality has not been established. The safety and effectiveness of QSYMIA in combination with other products intended for weight loss, including prescription and over-the-counter drugs, and herbal preparations, have not been established.

For more information on QSYMIA, please visit https://QSYMIA.com/

Important Safety Information

Do not take QSYMIA if you are pregnant, planning to become pregnant, or become pregnant during QSYMIA treatment; have glaucoma; have thyroid problems (hyperthyroidism); are taking certain medicines called monoamine oxidase inhibitors (MAOIs) or have taken MAOIs in the past 14 days; are allergic to topiramate, sympathomimetic amines such as phentermine, or any of the ingredients in QSYMIA.

Common side effects of QSYMIA in adults include numbness or tingling in the hands, arms, feet, or face (paraesthesia), dizziness, changes in the way foods taste or loss of taste (dysgeusia), trouble sleeping (insomnia), constipation, and dry mouth. Common side effects of Qysmia in children aged 12 years and older include depression, dizziness, joint pain, fever, flu, and ankle sprain.

QSYMIA can cause serious side effects, including birth defects (cleft lip/cleft palate), increases in heart rate, visual field defects (independent of elevated intraocular pressure), suicidal thoughts or actions, serious eye problems, and severe rash with blisters and peeling skin. QSYMIA may slow the increase in height in children 12 years and older.

101225.02-USP

References

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  1. World Health Organization. (n.d.). Obesity. Retrieved from https://www.who.int/health-topics/obesity#tab=tab_1
  2. Centers for Disease Control and Prevention. (2022, May 17). Adult Obesity Facts. Retrieved from https://www.cdc.gov/obesity/data/adult.html
  3. Centers for Disease Control and Prevention. (2023, September 22). Adult Obesity is a Serious Health Problem. Retrieved from https://www.cdc.gov/media/releases/2023/p0922-adult-obesity.html#:~:text=Obesity%20is%20a%20disease%20caused,one%20size%20fits%20all%20approach.
  4. WebMD. (2023, November 9). Prescription Weight Loss Medicine. Retrieved from https://www.webmd.com/obesity/weight-loss-prescription-weight-loss-medicine
  5. Harvard Health Publishing. (2023, November 1). Understanding new weight-loss drugs. Retrieved from https://www.health.harvard.edu/staying-healthy/understanding-new-weight-loss-drugs
  6. Müller, L., & Müller, V. (2018). Obesity and Breast Cancer: Current Insights on the Role of Fatty Acids and Lipid Metabolism in Promoting Breast Cancer Growth and Progression. Frontiers in Endocrinology, 9, 647. https://doi.org/10.3389/fendo.2018.00647
  7. Qsymia. (2023, June). Qsymia (phentermine and topiramate extended-release) capsules, for oral use, CIV. Prescribing Information. Retrieved from https://qsymia.com/patient/include/media/pdf/prescribing-information.pdf
  8. VIVUS LLC (2023, January 23). VIVUS Provides Update on Pipeline and Program Milestones. Retrieved from https://ir.vivus.com/news-releases/news-release-details/vivus-provides-update-pipeline-and-program-milestones