D.S., a 28-year-old woman, was treated for injuries sustained in a train derailment accident. During the course of her treatment, she was seen by several specialists. For pain in her knee and hip joints, she was referred to an orthopedist. For migraine headaches and blurry vision, she consulted a neurologist. For pain on urination and occasional bloody urine, she saw a urologist. Later, for a persistent dry cough and problems resulting from a fractured nose, she was referred to an otorhinolaryngologist. During her initial course of treatment, she had a CT scan of her abdomen and brain and an MRI of her hip and knee. Both imaging studies required her to lie motionless on her back for 45 minutes.

Several months after the accident, D.S. was still experiencing some discomfort, and she decided to investigate alternative therapies. She made an appointment with a naturist practitioner who specialized in homeopathy and herbal medicine. Before her appointment, she browsed in the Nutra-Medica Shop, which carried nutritional supplements, vitamin and mineral products, homeopathic remedies, and herbal formulas. She planned to ask the therapist about some of the products that she saw there, which included remedies with the trade names Pneumogen, Arthogesia-Plus, Renovite, Nephrostat, and Hematone.

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