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These patterns are four vertigo that presents with acute spontaneous but prolonged vestibular symptoms, vertigo that presents with episodic positional vestibular symptoms, or vestibular symptoms that are also episodic but spontaneous, and fourthly, instability or chronic dizziness. Each of these patterns allows us to differentiate common benign causes from other rare and more dangerous ones. That is, with a focused approach from the beginning, a correct and efficient diagnosis can be reached. It is important to respect, as far as possible, that persons way of eating number of meals and food distribution. Later we will flutamerck some guidelines, if necessary, on how it would be better.

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