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And yet, instead of declaring these studies convincingly negative, NCCAM is pouring more research money into acupuncture. “The intellectual dishonesty is just astounding,” said Dr. Steven Novella, a neurologist at Yale School of Medicine and a critic of NCCAM. “They are just quietly changing the question and the rules.” Acupuncture researcher Dr. Brian Berman, principal investigator for $24 million in NCCAM grants since 1999, wrote in a paper published in the New England Journal of Medicine that a 2008 analysis of acupuncture studies involving 6,000 patients with lower back pain found no significant difference between true acupuncture and sham acupuncture, though both did better than usual care. Berman, founder of the Center for Integrative Medicine at the University of Maryland School of Medicine, recommended in the paper that a hypothetical person with lower back pain who had not responded to standard medical treatments should receive 10 to 12 acupuncture treatments in addition to usual care. That series of sessions could cost hundreds of dollars. In an email, Berman wrote that he based his recommendation on evidence that acupuncture is relatively safe and helps people. It’s unclear, he said, why true acupuncture and sham acupuncture may produce similar effects.

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