“Nothing is typical anymore, especially here in West Virginia,” Dr. Cousins said. “The age that I used to see more people coming in was in their 60s or 70s, and now we’re seeing more people coming in their 40s and 50s, and there is a narrative reason for that. One being uncontrollable diabetes which is a big problem here in West Virginia and even more so in southern West Virginia, and it is that metabolic syndrome of uncontrollable diabetes that also leads to severe heart disease, blockages of the arteries, and valvular heart disease.”
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