Chronic pain is a life-disrupting experience. Despite its commonplace occurrence and advancements in therapeutic interventions, patients struggle to find adequate relief and to improve functionality. According to a 2016 National Health Interview Survey (NHIS) 20.4% of U.S. adults have chronic pain, and 8% (19.6 million) of adults have high-impact chronic pain (Vital Health Stat 2 2017;1-22). There is higher prevalence of both in older unemployed adults and in those living in poverty and/or with public health insurance (Fam Pract 2001;18:292-9). These socio-economic indicators correlate with poor access to and less success with navigating the health care system (Pain 2017;158:313-22). This year, COVID-19 has drawn attention to racial-socio-economic disparities correlated with disproportionate impact of the disease (N Engl J Med 2020;383:201-3). The pandemic also highlights the importance of metabolic health, as patients with modifiable conditions like obesity, coronary disease, hypertension, cerebrovascular disease, and...

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