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There are many treatments, interventions, and protocols routinely practiced in medicine and surgery which the FDA has not studied nor formally approved yet which have demonstrated overwhelming evidence of efficacy and clinical benefit, while many standard treatments and common surgeries can actually have high rates of failure and complication

119 However, a later systematic review of 32 randomized controlled trials in nearly 5,000 patients with various types of chronic pain, including fibromyalgia, found internet delivered CBT had small benefits for pain and functional disability, but these improvements were not sustained over time

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