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a much bigger affects so again that holy grail of showing that treating depression can actually reverse that change and decrease cardiovascular events doesn’t seem to be true yet there are couple indirect pathways which may help we know that smoking and stopping smoking at any point can decrease your cardiovascular risk you know the treating depression actually makes it easier for people to stop smoking we also know that certainanti-depressants actually decrease nicotine craving so there's some relationship there that we haven't quite tease apart yet so I hope u seen Neuro 3x through this or quick run through stress physiology through anger and hostility through depression and ultimately just Avery quick peek it some others treatments like stress reduction or cognitive behavioral therapy that yes indeed our emotions other physiologic consequences are motions absolutely related to disease to most causes of morbidity and mortality but the good news is not only do we understand those relationships but we're starting to reverse
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