Dallas, TX; and Bogota, Colombia From 1private practiceand the 2Dhara Clinic. Received for publication November 25, 2021; accepted May 24, 2022. Disclosure: Neither author has a financial interest to declare in relation to the content of this Discussion or of the associated article. Alfredo E. Hoyos, MD, Carrera 15, No. 83-33, Suite 304, Bogotá, Colombia, [email protected], @alfredohoyosmd