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Even Chepngenos case comes with some caveats, in my view
Record the date, vial lot number, appearance, and anything notable
For those seeking quick answers and convenience, AI-powered tools plus clinician video visits can speed evaluation without compromising safety
Commonly reported triggers include spicy foods, citrus fruits, tomatoes, chocolate, caffeinated drinks, alcohol, artificial sweeteners, overexertion, prolonged sitting, exercises that work the abdominal muscles (eg, sit-ups and crunches), riding a bicycle or horse, sexual activity, and wearing tight clothing
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