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This raises a fundamental ethical question: For how long can it be ethically justifiedand not considered a form of misconductto withhold or fail to actively offer an evidence-based, disease-modifying therapy, when patients subsequently suffer preventable consequences such as reduced health span, premature mortality, sudden cardiac death, cancer or progressive complications of diabetes and other obesity-related diseases

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In addition to environmental, dietary, and psychological stressors that wreak havoc on cells, byproducts of metabolism that are essential to sustain life will also break our bodies down