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While scientific evidence exists regarding some CAM therapies, for most there are key questions that are yet to be answered through well-designed scientific studies—questions such as whether these therapies are safe and whether they work for the purposes for which they are used.

In the United States, approximately 38 percent of adults (about 4 in 10) and approximately 12 percent of children (about 1 in 9) are using some form of CAM, shown in figure 1. However, CAM use among adults is greater among women and those with higher levels of education and higher incomes.

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Participants were older than 65 and from an urban academic hospital's ambulatory geriatrics practice.

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Complementary medicine is used together with conventional medicine, and alternative medicine is used in place of conventional medicine.

Integrative medicine combines conventional and CAM treatments for which there is evidence of safety and effectiveness.

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