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Mary Lou Ballweg of the Endometriosis Association published an article in response to this study.  Her assessment is that as endometriosis is a whole body inflammatory disease, this could include a link to heart disease along with other conditions. The approach to treatment doesn't change - along with excision surgery, the whole body approach which includes an anti-inflammatory diet, finding and avoiding food sensitivities, including supplements that are anti-oxidant and counter inflammation, exercise, stress management, and having a healthy lifestyle and chemical free living environment all work to prevent runaway inflammation and pain.  I totally agree with her from my own training in nutrition and women's health.