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Chloramphenicol is known to cause bone marrow suppression, especially when serum concentrations exceed 25 mcg/ml
Just look at the history of people with ME (myalgic encephalomyelitis) or with Long-Covid, and how they have been ill-diagnosed and not well treated, and you realize how mediocre the specific evaluation of many people with unexplained symptoms may have been
This finding aligns with current AAFP clinical guidance recommending oral therapy as a first-line option for most patients
We do not yet offer it to patients, but our clinical team has been reviewing the research closely and running a structured internal protocol
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