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Risk increases significantly when administered outside licensed clinical settings

Eligibility Criteria for Graduates of LCME - Accredited Allopathic US and Canadian Medical Schools Graduated from medical school within the past three years Passed USMLE (Steps 1 and 2) with no more than one total prior failure Passed the Clinical Skills (CS) exam on first attempt Three letters of recommendation, including at least one from a family physician Eligibility Criteria for Osteopathic Graduates Graduated from medical school within the past three years Graduates of colleges of osteopathic medicine in the United States accredited by the American Osteopathic Association (AOA) COMLEX scores passed with no more than one total prior failure Three letters of recommendation, including at least one from a family physician Eligibility Criteria for Graduates of Non-LCME Accredited Medical Schools Graduated from medical school within the past three years Passed USMLE (Steps 1 and 2) with no more than one total prior failure Passed the Clinical Skills (CS) exam on first attempt Minimum of three months clinical training in the US or Canada, or clinical experience elsewhere which clearly demonstrates an understanding and interest in primary care and Family Medicine in particular Three letters of recommendation, including at least one from a family physician or primary-care physician Non-U.S

However, some patients may experience a pinkish tone for several weeks as the deeper layers of skin heal

Patients are usually advised to take: A high-potency multivitamin and mineral supplement Vitamin B12 (oral high-dose or intramuscular hydroxocobalamin, depending on absorption) Vitamin D and calcium combined Iron , particularly in women of childbearing age Adhering to these supplementation regimens and attending follow-up appointments is one of the most effective ways to prevent nutritional neuropathy after surgery