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Patients with COPD who use inhaled corticosteroids to improve breathing for more than 6 months have a 27% increased risk for bone fractures. The risk goes up as the dosage increases. It was previously assumed that inhaled steroids would have a predominantly local effect, but now we know this is not true. Treatment should consist of lowering or discontinuing inhaled...

Proton pump inhibitors (PPIs) such as Prilosec, Nexium, Protonix, and Aciphex have been available for about 20 years and each year about 15 million people use them and bring in $10 billion every year. PPIs are vastly overprescribed by MDs and because they are available over the counter, are overused by patients. The major known side effects of PPIs include...