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While efficacy studies usually apply continuous daily treat­ment regimens, many patients take their medication on demand.

By virtue of our providing tertiary services we provide care for people who cannot be cared for in general hospitals in their home community, so often have to transport people both to our facility for treatment, and back to their home hospital once they have stabilized or improved.

As a result we regularly use both ground and air ambulance services to move our patients both at times when they are markedly distressed and at times when they are much more stable.

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