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A separate issue is that mold exposure, chronic viral reactivation, and gut inflammation can mimic parts of the Lyme symptom cluster

However, immune-mediated AEs, including endocrine, gastrointestinal, hepatic, skin, pulmonary, and renal events, occurred in 55.6% of patients, and 10% of the patients required high-dose glucocorticoids

For the separate question of whether the sleep effect holds up at all as distinct from this articles question of what was dosed see our companion review, does DSIP improve sleep in the research literature

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