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okay the next question is you mentioned asking your patients about their family history and how important that is i know we got into that about how important it is how much you can learn from getting a family history and this person asked what questions or information do you ask new patients on family history oh im glad somebody asked that question because i something i feel so strongly about a lot of times patients will come in and theyll say i have my 23andme data is that all you need and i was like actually that pretty much tells me nothing well take it thank you very much and we will scour the hell out of it and well find out if you have a tom 40 snip and thatll increase your risk of alzheimers disease and maybe youve got a certain fox o3 snip and theres some interesting stuff here and there obviously the genes that we think really matter were measuring on our own such as the mthfr genes and of course the apoe but what i say to them is look this stuff doesnt mean jack com