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Some experts are hesitant to draw any conclusions from the report. They note that although maternal kratom use could theoretically cause neonatal abstinence syndrome, the case did not explicitly link kratom to the infant's withdrawal symptoms."I'm not surprised that this is possible," said Dr. Andrew Kruegel, an associate research scientist at Columbia University, "because kratom certainly has opioid effects and can induce tolerance in users, especially at higher doses."But Kruegel, who has studied the plant for seven years, noted that doctors weren't able to test the purported kratom itself. "The main limitation is that we don't know anything about the dosage that the mother was taking," he said. "Without that information, you can't really extrapolate too much."And the mother might not have been taking kratom at all, said Dr. Edward W. Boyer, an associate professor at Harvard Medical School and a physician in the Department of Emergency Medicine at Brigham and Women's Hospital."It's the husband who reported the kratom use," he said. "The wife who actually ingested the product, who thought it was kratom, and the authors of the case report itself, none of those people actually verified that she was ingesting kratom." 1235
The 48-year-old man and 22-year-old woman were "adjacent to each other when for an unknown reason their bodies collided and they both lost control," Heims said. 160

Stocks fell in the run-up to President Richard Nixon's impeachment proceedings and for a few months after he resigned. But the economy was in recession at the time.The stock market had risen steadily after Trump's election through 2017. But hiccuped in January 2018 after Trump introduced the first of many tariffs aimed at growing the US steel industry and reducing America's purchases of foreign-made products.Stocks rebounded in the middle of the year but have swooned again because investors are worried about rising rates -- and a mountain of debt caused by the tax cut bill that higher rates will make more expensive to pay off. 644
Students described the vehicle as a light-colored truck, possibly white, and lifted. In the meantime, deputies and senior volunteers will be conducting extra patrols around schools, according to SDSO.Deputies say if you see something suspicious or are a victim of a crime, for non-emergencies call 858-565-5200 and in an emergency, call 911.Another incident with a similar truck was posted on social media, but Sheriff's haven't confirmed whether they have received another report. 481
Some U.S. doctors are skepticalDr. Dan Gehlbach, founder of Midwest Reproductive Center, says he just doesn’t know enough about clinics outside of the United States to be comfortable with saying much about traveling for treatment.“I don’t know the regulation that exists in other countries with medical and especially IVF procedures.Here in the United States, we are very regulated and our laboratories are inspected regularly. We’re monitored on a regular basis. There are things that we want to hold ourselves to a higher standard,” he said. He says there are costs associated with that high standard. He’s also concerned about timing.“For most patients, it’s about a three-month process from when we start to when we’re actually transferring an embryo in them and there are multiple visits and procedures,” said Gehlbach.Skinner admits most return to Barbados for multiple treatments.“For most patients, they’re going to be coming to Barbados one to three times, depending on how many times they need to be treated,” said Skinner.Insurance coverageCurrently, most insurance companies do not cover infertility treatments.The Merritt’s say their search for answers was covered by insurance: the appointments, the tests, and the specialists. But when it came time to start reproductive assistance, they were on their own.According to a just-published document from the National Association of State Legislatures, since the 1980s, 15 states have passed laws requiring insurers to either cover or offer coverage for infertility diagnosis and treatment.Those states include: Arkansas, California, Connecticut, Hawaii, Illinois, Louisiana, Maryland, Massachusetts, Montana, New Jersey, New York, Ohio, Rhode Island, Texas and West Virginia.Kansas and Missouri do not have laws mandating health insurance coverage for infertility treatment.The number of couples choosing IVF, and the methods employed to increase chances for success, are growing.Support from othersThe Merritt’s chose to share their story in hopes of encouraging others not to give up.They, along with several other local women, have told us how dark and depressing the inability to have a baby is when every cell in your body wants a baby. They all said they felt very alone during the journey. They want others to know they are not alone. Several women agreed to share their stories of infertility so if you are struggling you may find comfort in hearing from them.Click here for their stories. 2468
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