High Rates of HIV, HPV and Toxic Exposure Make Anal Cancer a Concern for Veterans. . . . 4 Acalabrutinib Gains Ground as Preferred BTK Inhibitor for CLL/SLL in Veterans Likely to Have Co-Morbidities. . . . . . . . . . . . . . 15 Expert Panel Recommended Regular Review of Common Psychotropic Medications. . . . . . . 18 MM Survival Lower Than Previously Reported; Powerful Later Line Options Offer Hope. . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 More Treatment Options Now Available for Veterans With Familial Hypercholesterolemia. . . . . . . . . . . . . . . . . . . 36 Veterans With ALS Report High Satisfaction With VA Care Compared to Outside Care. . . . . 41 More Genetic Testing, New Drug Combinations Hold Promise for Prostate Cancer With Germline Variants. . . . . . . . . . . . 53 Contents COMPENDIUM OF FEDERAL MEDICINE COMPENDIUM OF FEDERAL MEDICINE Credits: ©iStock - 4, 15, 18 , 28, 53, 56, 68, 82, 91, 94 ©ShutterStock - 2-3, 36, 41, 44-47, 60, 65-66, 70-71, 75, 79, 86, 88-89 PUBLISHING James F. Breuning Publisher Breuning@usmedicine.com 609-397-5522 Kristin Mendola Vice President, Sales and Marketing Mendola@usmedicine.com 203-761-0202 EDITORIAL Brenda L. Mooney Editorial Director Mooney@usmedicine.com Annette M. Boyle Chief Medical Writer Stephen Spotswood Washington Correspondent Mary Anne Dunkin Contributing Writer LaTina Emerson Contributing Writer Eden Jackson Landow Copy Editor DESIGN & PRODUCTION Tim Bayha Production Manager Production@usmedicine.com Alex Dinardo Art Director U.S. Medicine is an independent publication and is not in any way affiliated with the United States government or any of its agencies. H H H U.S. Medicine (ISSN 0191-6246) is published monthly by Marathon Medical Communications, Inc., 120 N. Union St, Lambertville, NJ 08530. Telephone 609-397-5522. U.S. Medicine is available for free to qualified healthcare professionals working in the Department of Veterans Affairs, Department of Defense and the US Public Health Service. Subscriptions for libraries and non-qualified personnel are available for $150 annually. To manage your subscription please visit www.usmedicine.com No part of the publication may be reproduced without written permission from the publisher. Advertising appearing in the print or online editions of U.S. Medicine should not be construed as an endorsement of the product or the manufacturers’ claims. U.S. Medicine and its publisher, Marathon Medical Communications, Inc. are not responsible for any injury to persons or property resulting from any ideas or property referred to in its articles or advertisements. Advances in medicine may cause information contained here to become outdated. Patients should consult a physician or qualified health care professional regarding any questions about their health and treatment options. Physicians and other qualified health care professional should not allow the content presented here to substitute for their own medical judgment. U.S. Medicine has made every effort to ensure that its content is complete, accurate and current. U.S. Medicine is not responsible for any errors and omissions in the print, online, and supplemental editions. The views expressed by experts interviewed by U.S. Medicine are their own and should not be construed to represent the positions of the U.S. Department of Veterans’ Affairs or the Department of Defense, unless otherwise indicated. Periodicals postage paid at Lambertville, NJ and additional mailing offices. U.S. Medicine is an independent publication and is in no way affiliated with the VA, DoD, USPHS or any other agency of the United States government. POSTMASTER: Send changes to: U.S. Medicine 120 N. Union Street, Lambertville, NJ 08530 © 2026, Marathon Medical Communications, Inc. 120 N. Union Street, Lambertville, NJ 08530 TEL: (609) 397-5522
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