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Previous Volume 343:585-586 August 24, 2000 Number 8 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Enthusiasm is laudable, but simplicity is even better.

The reports by Li and McKay and by Milea et al. (March 23 issue)^1,2 surprised me because of the excessive diagnostic testing used in patients who were anemic and nutritionally deficient as a result of strict, unsupplemented vegan diets. The dietary histories of the two patients should have been sufficient for understanding the etiology and pathogenesis of their conditions and for determining their treatment. I am puzzled by the need for small-bowel x-ray studies, endoscopy and multiple gastric biopsies, and mitochondrial-DNA analysis at the start.

Harvey E. Finkel, M.D.
. . . [Full Text of this Article]

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