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This site is managed by clinicians (see ABOUT). All questions or comments submitted to us will be directed to a clinician. Where it is appropriate they may respond in a general way. It is not possible for us to provide specific clinical or therapeutic advice, and our comments should not be treated as a substitute for such advice. Please note that by submitting your question or comment you are giving permission for us to use your submission as the basis for the Hot Topic Blog where our answers will be visible to all readers, who may also find them helpful. All questions/comments responded to in this way will be kept anonymous. This means that potentially identifying details of any illness condition you are asking about may be changed if this is needed to protect your identity.