The results of both surveys are not surprising. This recommendation has never been prospectively tested in a large RCT and has little supporting evidence. Imagine the American Heart Association (AHA) or the American Diabetes Association (ADA) making a STRONG RECOMMENDATION (which it then Federally mandated) regarding a therapeutic intervention which had never been tested. The medical community would reject such a recommendation out-of-hand and consider such a recommendation to be reckless.

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