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87 In a different clinical study, Hunner lesions were found in 8.6%, 23.8%, and 55.6% of patients less than 30 years old, between 30 to 60 years old, and older than 60 years old, respectively

Although these findings of dysbiosis in ME/CFS are evident [12, 21,22,23,24,25,26,27,28,29,30,31], their exact role in the disease mechanism remains unclear [10]

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Patients who rotate sites report 50% fewer moderate-to-severe reactions compared to those who inject exclusively into the deltoid