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Vocal outbursts can be voluntary or semi-voluntary. Involuntary vocal outbursts are a feature of certain neurological conditions characterized by other types of tics, such as involuntary movements. The classic example is Tourettes syndrome, but other neurological disturbances can result in vocal outbursts as well.

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PENS is a modern adaptation of acupuncture that uses percutaneously placed acupuncture needles to stimulate peripheral sensory and motor nerves innervating the region of neuropathic pain.

Initial effects are noticed after one full body cycle, about 30 days. Traditional Chinese practitioners prescribed Ginseng to their patients to keep them well, relied upon herbal formulations to control developing malfunctions and utilized acupuncture to cure stubborn afflictions. It is a system of medicine that works, and is being improved upon every day.

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