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By Fred Schulte

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This story also ran on Bloomberg . This story can be republished for free ( details ).

One of thelargestpain management groupsin the Southeast is closing multiple clinics amid worsening financial troubles and a federal criminal investigation that targeted its former chief executive.

This week, Tennessee-based Comprehensive Pain Specialists advised patients and employees about clinic closures, leaving patients scrambling to find new doctors willing to prescribe them opioids, according to a Gianvito Rossi Buckle detail flat sandals zi4ar929
on WSMV television.

Based in the Nashville area, CPS opened in 2005 and quickly grew into a powerhouse, which has treated as many as 48,000 pain patients a month, at more than 50 clinics in Tennessee and other states.

CPS did not respond to numerous requests for comment.

The doctor-owned company has endured a series of recent setbacks, including earlier clinic closures, pending lawsuits over alleged debts and the criminal case against former CEO John Davis.

In April, a federal grand jury in Tennessee indicted Davis on criminal kickback charges. He has pleaded not guilty. CPS also has faced nearly a dozen civil lawsuits from contractors alleging unpaid debts, including suits brought by two of its former doctors. A Justice Department official said the closure was not related to the criminal case against Davis.

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The shutdown of the clinics comes amid growing backlash against the use of opioids for treating chronic pain. The opioid crisis has cost the U.S. economy more than $1 trillion since 2001, estimates Altarum, an economic research firm. Since 1999, at least 200,000 people have died nationwide from overdoses, according to the Centers for Disease Control and Prevention.

According to the company’s website, CPS now operates 40 clinics in eight states: Arkansas, Illinois, Indiana, Kentucky, Mississippi, North Carolina, Ohio and Tennessee. Half are in Tennessee. The Tennessean reported Tuesday that all 21 clinics in the state would be closing by the end of the month.

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In the 1960s, heart disease was on the rise and researchers blamed saturated fats or cholesterol on the new epidemic. Since that time, any food, activity, nutrient or substance that lowered cholesterol was automatically deemed beneficial for heart disease. Vegetable oils – more specifically omega-6 polyunsaturated fats – were found to lower cholesterol levels and were, therefore, deemed good for your heart.

Not so fast! The premise that cholesterol caused heart disease has been challenged in study after study (1,2), but to this day, we are still being prescribed statins, eating certain polyunsaturated fatty acids (PUFAs) which were the replacement fats for cholesterol, and avoiding saturated fats (like butter) in an effort to lower cholesterol.

Many of these cholesterol-lowering foods, oils and drugs that are still in common practice today in the name of good health are under intense scrutiny. Some experts suggest that many vegetable oils may actually increase the risk of heart disease and mortality, instead of lowering it . (2,3)

actually increase the risk of heart disease and mortality, instead of lowering it Should We Stop Eating Cholesterol-Lowering Foods?

In this article, I will discuss the potential health risks of ingesting omega-6 polyunsaturated fatty acids (PUFAs) or vegetable oils that take up an entire aisle in the grocery stores. These vegetable oils are used to extend the shelf life of packaged foods, and are found in almost every loaf of bread, cracker, chip, bar, candy, nut milk, meat substitute, frozen meal, salad dressing and packaged food.

In the 1960s, vegetable oils replaced saturated fats as heart-healthy alternatives, as they were shown to lower total cholesterol levels. For decades, the consensus was that anything that lowered cholesterol was considered “heart-healthy.” (1) Recent studies have poked serious flaws in this theory. In a handful of studies, omega-6-rich vegetable oils lowered cholesterol levels, but they failed to lower the risk of heart disease or heart disease-related death – suggesting that lowering cholesterol may not protect your heart. (3)