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2006;48:335). Blood pressure decreasing effects of dairy rich diet were stronger compared with a diet rich in fruits and vegetables alone (Engl J Med. zi xiu tang xiaobing feng It may be that lowering the dose or switching to a milder medication is ultimately right for you. I would be cautious, as your physician appears to be, and not stop turkey. I have seen many doctors, internist, ENT, cardiologist and neurologist. In a trial comparing a new one stop clinic with a dedicated breast clinic for breast cancer screening,1 patients were randomised to a clinic, where they attended an appointment with one of several consultants. The main outcome was patient anxiety, which is likely to be influenced by the consultant treating the patient, yielding potential clustering by consultant. In this trial the clustering is imposed by the design of the trial because of the interventions being compared and is nested within treatment groups since each consultant participates in one treatment arm only (fig 1)..