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There are no shipping, handling or taxes added except for Washington State residents! (there are NO additional European "VAT" taxes added with this PayPal account for those in European counties) iSilo Reader Version of The Clinical Medicine Consult: The "iSilo" reader is not free, it is a separate purchase (costs $12, a trial version is in the download, once you pay them, they give you a registration code to unlock it for the full version. You can also use "iSilo for Windows" to read the text on your desktop or iSilo for palm / iSilo for the PPC to read the same file on any PDA you own. Link: http://www.isilo.com/. Isilo is a separate commercial entity. This reader offers some advantages. The text compression is 10% better making the file size slightly smaller. There are FREE quaterly updates with this version. There are discounts for renewals. Click below to purchase and then download a 1 year subscription to the Clinical Medicine