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The clinical note must use the phrase "acute exacerbation" or "acute worsening" of the chronic condition

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doi: 10.2174/1570159X15666170911121027

Moreover, the lack of sufficient evidence does not convince clinicians to standardize dietary supplements as alternatives to medical or pharmacological interventions

Eur Spine J 21:228239 Eun SS, Lee H-Y, Lee S-H, Kim KH, Liu WC (2012) MRI versus CT for the diagnosis of lumbar spinal stenosis