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Unconventional medical care was once thought to be the exclusive domain of the charlatan and the gullible minority. Currently referred to as complementary and alternative medicine by its proponents, its influence has now spread from the tabloid headlines and talk shows to the examining rooms of even the most sophisticated urban medical centers. The movement is driven by twin engines: aggressive marketing by "health-oriented" companies and the demands of patients who are aware of the accomplishments of science and who seek cures for every health problem. David M. Eisenberg and colleagues estimated in the Journal that in 1990, the number
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