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Im gonna talk a little bit about differentiating carton CPP from a diagnostic perspective and and maybe add a little bit in in terms of treatment and some of the issues around treatment at the end if we have some time I really do want to leave some time for questions though so I might motor through the the initial parts of it which is the epidemiology I mean its relevant and so much as describing the burden of the disease and I think you may be under appreciated exactly how common these two entities frequently coexist and talk about how they play in the sandbox together or not and then from your perspectives whats important is how do you differentiate them in the office how do you make that through clinical approaches talking to the patient examining the patient versus diagnostic approaches what sort of ancillary lab tests or types of investigations might you want to might you want to consider so how common is it its pretty common this is data from Scotland hence the little Scotti