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Eur J Med Res 30(1):33 Jeyaraman M, Jeyaraman N, Nallakumarasamy A, Roy M, de Souza Moraes TM, da Fonseca LF (2026) Science of heat mapping: Thermography in musculoskeletal disorders

555,556 Lifestyle modifications include head-up tilt sleeping, which elevates the head of the bed by 1030 to reduce nocturnal diuresis and improve morning orthostatic tolerance, and advising patients to avoid triggers such as prolonged standing, sudden postural changes, high ambient temperatures, and large meals that may exacerbate symptoms

[482] This is validated by an Office of the Assistant Secretary for Planning and Evaluation (ASPE) report that found that the vast majority of hospitals only have one NPI and a very small number of hospitals have multiple NPIs

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