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Cleveland Clinic Journal of Medicine
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Cleveland Clinic Journal of Medicine

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Latest Articles

  • You have access
    Should I consider low-dose rivaroxaban (2.5 mg) for my patient with peripheral artery disease?
    Pranay Marlecha, MD, Deborah Hornacek, MD and Pulkit Chaudhury, MD, MS
    Cleveland Clinic Journal of Medicine December 2025, 92 (12) 742-744; DOI: https://doi.org/10.3949/ccjm.92a.25065

    For patients with high ischemic risk, rivaroxaban 2.5 mg twice daily with aspirin 81 or 100 mg daily is a proven strategy to reduce major cardiovascular and limb events.

  • You have access
    How should I incorporate emergency contraception counseling into my practice?
    Alexa R. Wilden, MD and Heather M. Wainstein, MD
    Cleveland Clinic Journal of Medicine December 2025, 92 (12) 738-741; DOI: https://doi.org/10.3949/ccjm.92a.25029

    Emergency contraception counseling should be provided routinely to women at risk of unintended pregnancy as part of counseling on reproductive goals.

  • You have access
    What is the optimal time for bone density screening in patients with premature ovarian insufficiency?
    Dewonna Ferguson, MD, MSCP, Suneela Vegunta, MD, MSCP and Sara Shihab, MD, MSCP
    Cleveland Clinic Journal of Medicine November 2025, 92 (11) 676-678; DOI: https://doi.org/10.3949/ccjm.92a.24116

    Dual-energy x-ray absorptiometry should be performed at diagnosis, with the timing of repeat scans predicated on the patient’s clinical risk factors for fracture.

  • You have access
    In Reply: Managing noninsulin glucose-lowering medications before surgery
    Oscar L. Morey-Vargas, MD, Mona Gossmann, MD, Jeffrey M. Ketz, PharmD and Basem B. Abdelmalak, MD
    Cleveland Clinic Journal of Medicine November 2025, 92 (11) 651-652; DOI: https://doi.org/10.3949/ccjm.92c.11002
  • Lipoprotein(a) in clinical practice: What clinicians need to know
    You have access
    Lipoprotein(a) in clinical practice: What clinicians need to know
    Astefanos Al-Dalakta, MD, Leslie S. Cho, MD and Ashish Sarraju, MD
    Cleveland Clinic Journal of Medicine November 2025, 92 (11) 679-685; DOI: https://doi.org/10.3949/ccjm.92a.25020

    Elevated lipoprotein(a) by itself is not an indication for statin therapy, but its presence supports earlier or more aggressive preventive therapy.

  • You have access
    Thyroid eye disease: What’s the latest?
    CME article
    Ashley B. Vincent, DO, Alexander R. Engelmann, MD, Catherine J. Hwang, MD and Christian Nasr, MD
    Cleveland Clinic Journal of Medicine November 2025, 92 (11) 693-701; DOI: https://doi.org/10.3949/ccjm.92a.25043

    A better understanding of the pathophysiology of this autoimmune disorder has led to innovative insights into its treatment, but long-term management remains a challenge.

  • You have access
    Should we continue guideline-directed medical therapy in patients with heart failure with improved ejection fraction?
    Nicole Ann Tesoro, MD and Sumanth Kumar Bandaru, MD
    Cleveland Clinic Journal of Medicine November 2025, 92 (11) 667-670; DOI: https://doi.org/10.3949/ccjm.92a.24111

    Therapy should be continued even if left ventricular ejection fraction improves, as normalization or improvement does not guarantee a permanent recovery.

  • You have access
    Multiple scabietic nodules on the scrotum in a patient living with HIV infection
    Hidenori Nakagawa, MD, Akiko Imanishi, MD, Tomohiro Asaoka, MD and Michinori Shirano, MD, PhD
    Cleveland Clinic Journal of Medicine November 2025, 92 (11) 654-655; DOI: https://doi.org/10.3949/ccjm.92a.24121

    A 21-year-old man presented with pruritic erythematous papules and nodules on the scrotum and linear keratotic burrows on the right wrist.

  • You have access
    Managing noninsulin glucose-lowering medications before surgery
    Adam Kaplan, MD
    Cleveland Clinic Journal of Medicine November 2025, 92 (11) 651; DOI: https://doi.org/10.3949/ccjm.92c.11001
  • You have access
    Lipoprotein ‘little a’: More than a little target in the management of cardiovascular risk?
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine November 2025, 92 (11) 647-648; DOI: https://doi.org/10.3949/ccjm.92b.11025

    Lipoprotein(a) was once believed to play no contributory role in the development of cardiovascular disease. That storyline has since flipped.

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