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CAM therapies refer to a number of approaches not part of mainstream conventional medicine, used either in complement with or in lieu of standard medical treatments (15).

Studies to date suggest that people with chronic conditions are more likely to use CAM, and people with additional conditions have an increased likelihood of overall CAM use (5,7,8,9,11,16–18).

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People with multiple chronic conditions face health care burdens because of the complexity of coordinating disease management, including treatment by medical professionals and self-care (3).

Prior studies show that people with chronic conditions (5–14) often use complementary and alternative medicine (CAM) therapies as part of disease management.

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