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The National Strength and Conditioning Association (NSCA) and the American College Of Sports Medicine (ACSM) are two of the most respected certifications in the fitness industry. The NSCA is the only nationally recognized accredited certification and it offers both a Certified Personal Trainer (NSCA CPT) and Certified Strength and Conditioning Coach (CSCS) credential. The ACSM is considered the “Gold Standard” in the fitness industry and is also highly respected by the medical community. 20 pack lida pills old formula The MYC oncogene is involved in many types of human cancer. The discovery of a consistent balanced chromosomal translocation involving the MYC gene in Burkitt lymphoma was the first evidence to characterize MYC as a human oncogene.1 Subsequently, MYC gene alterations have been discovered in B cell neoplasms other than Burkitt lymphoma.2 Among those neoplasms, diffuse large B cell lymphoma is the most widely studied. The presence of MYC rearrangements in patients with diffuse large B cell lymphoma treated with Rituximab, Cyclophosphamide, Doxorubicin, Vincristine and Prednisone (R CHOP) has been shown to be associated with poor prognosis.3, 4 In particular, the so called lymphomas that are characterized by MYC rearrangement and a concurrent rearrangement of other B cell lymphoma associated genes such as BCL2 or BCL6 are associated with poor response to therapy, aggressive clinical course and dismal prognosis.5, 6, 7 These lymphomas are classified as lymphoma, unclassifiable with features intermediate between diffuse large B cell lymphoma and Burkitt lymphoma in the current 2008 WHO classification of hematopoietic neoplasms.8.