Without variable valve timing or variable valve lift, the valve timing must be the same for all engine speeds and conditions, therefore compromises are necessary. An engine equipped with a variable valve timing actuation system is freed from this constraint, allowing performance to be improved over the engine operating range.
A variety of medical specialists treat people with osteoporosis, including internists, gynecologists, family doctors, endocrinologists, rheumatologists, physiatrists, orthopaedists, and geriatricians. There are a number of ways to find a doctor who treats osteoporosis patients. If you have a primary care or family doctor, discuss your concerns with him or her. Your doctor may treat the disease or be able to refer you to an osteoporosis specialist.
I have been going to an endocrinologist since my osteoporosis was diagnosed by my PCP (about 8 years ago). Since he is an Internal Medicine specialist and works at the best teaching hospital complex in San Antonio, I trusted his advice and his referral.