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May 1, 2023·edited May 1, 2023

THANK YOU for talking about this conflict of interest problem with asthma treatment guidelines. When the guidelines first came out in 2019, I felt like I was the only person who was skeptical about them. I have come to see that there is some wisdom in them, although my practice in Kenya is limited because of the cost of combined ICS/LABA inhalers in our context. But the guidelines deserve way more debate.

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