Isreal is going gang-busters. "It's just a normal immune response," Dr. Porpiglia explains. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction. amzn_assoc_search_type = "search_widget"; Future studies should focus on elucidating FMS-related symptoms occurring post-COVID-19. single Stories. W hile . amzn_assoc_region = "US"; 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. The study found that most adverse effects were the same as those experienced by the general population. A total of 616 patients were included, with 189 diagnosed with fibromyalgia. if( 'moc.sihttae.www' !== location.hostname.split('').reverse().join('') ) { Absolutely, because they're at higher risk of becoming seriously ill from Covid, said Dr. Abinash Virk, an infectious diseases specialist and co-chair of the Mayo Clinic's Covid-19 vaccine . They may also want to undergo testing to ensure their bodies have produced antibodies in response to the vaccine. "Grade 3 solicited local adverse reactions were more frequently reported after Dose 2 than Dose 1," Moderna's statement reads. In any case, its good, in the time of long COVID, that the potential for a post-infectious onset of fibromyalgia is being recognized. Subscribe To Health Risings Free Chronic Fatigue Syndrome and Fibromyalgia Information, HEALTH RISING IS NOT A 501 (c) 3 NON-PROFIT. You may also be able to get your prescriptions by mail order. These swollen lymph nodes can be felt in the armpit area in both women and men can even show up in mammograms. by Unable to perform any strenuous tasks. The fact that the stats were almost identical to the one-month reports suggested that time was not being the healer one might have hoped for. Getting disability approved for long COVID, ME/CFS, and similar diseases can take a journey - sometimes a long one. Each state has its own COVID-19 vaccine policies and procedures. with just 40% back to baseline. amzn_assoc_height = 250; This survey compares the burden of illness for individuals with a history of Lyme disease (HLD) with individuals with a HLD who have either contracted COVID-19 or who have taken the COVID-19 vaccine. Symptoms, treatments, causes, and everything else you need to know, COVID-19 and rheumatoid arthritis: What to know, requiring a ventilator to help them breathe, death due to COVID-19-related complications. Subscribe To Health Risings Free Chronic Fatigue Syndrome and Fibromyalgia Information, HEALTH RISING IS NOT A 501 (c) 3 NON-PROFIT. The result, the study found, was a substantial reduction in the share of people with Covid-19-like symptoms, and in antibodies that would suggest a Covid-19 infection: "In surgical mask villages . On univariate analysis, factors associated with fibromyalgia included age, male sex, cough, dyspnea, hypertension, obesity, and treatment with antibiotics, low molecular weight heparin, or oxygen. For example, three patients who received the Moderna vaccine and four who got the Pfizer experienced, , a sudden, and usually temporary, weakening or paralysis of the facial muscles, while a few patients with facial fillers, 7 Tips You Must Follow to Avoid COVID, Say Doctors, Follow the fundamentals and help end this surge, no matter where you livewear a, , social distance, avoid large crowds, don't go indoors with people you're not sheltering with (especially in bars), practice good hand hygiene, get vaccinated when it becomes available to you, and to protect your life and the lives of others, don't visit any of these, 35 Places You're Most Likely to Catch COVID. burning, soreness, stiffness, aching, or gnawing pain. The authors of the study conclude that the COVID-19 vaccine is safe for those with RA and those taking treatments that influence the immune system. Studies a U.S. FDA-regulated Drug Product: Studies a U.S. FDA-regulated Device Product: Physical activity [TimeFrame:4 weeks], Occupation conditions [TimeFrame:4 weeks], General health condition [TimeFrame:4 weeks], General pain condition [TimeFrame:4 weeks], Perceived stress scale [TimeFrame:4 weeks], Fibromyalgia impact questionnaire [TimeFrame:4 weeks], patients who have low back pain lasting at least 3 months and started before pandemic, patients diagnosed with fibromyalgia for at least 6 months, patients who have a history of back surgery, fracture, infection, spinal stenosis. Nancy Walsh earned a BA in English literature from Salve Regina College in Newport, R.I. Ursini and co-authors reported no competing interests. ", Stanford Medicine: "Gastrointestinal symptoms common in COVID-19 patients, Stanford Medicine study reports. What is the latest research on the form of cancer Jimmy Carter has? Keywords provided by Fatih Bagcier, Kars State Hospital: Other: The drugs used before and during the pandemic, the patient's job status, physical activity conditions, pain status. Can poor sleep impact your weight loss goals? In contrast to ME/CFS where many pathogen triggers (EBV (infectious mononucleosis), Ross-River Virus, Coxiella burnetti, SARS CoV-1 and 2) Unfortunately, few studies have looked at post-infectious onsets of FM. FMS and COVID-19 can coexist, and FMS may create a tendency to vaccine hesitancy. Headache. ", Nature Reviews. I found Health Rising a few years ago, but I only started subscribing to receive it in my inbox in mid-2022. Those with fibromyalgia also were significantly more likely to be hospitalized (19% vs 7%, P<0.0001). All Rights Reserved. amzn_assoc_tracking_id = "patientrising-20"; In this study, the effects of the symptoms related to the diseases of patients with fibromyalgia during the COVID-19 pandemic, their limitations in their social and business life, the need for different drugs, stress levels and the effect of the pandemic on the disease activity will be evaluated. Check out three articles on the best masks to wear. The AstraZeneca adenovirus vaccine is from 70-90% effective. 67-year-old Cathy Husler from Mifflintown, PA explained to. Be alert for symptoms that are more likely with COVID-19, such as: If you're not sure whether you have COVID-19 or a fibromyalgia flare, call your doctor for advice. Worries over COVID-19 can stress you out. Sometimes, the pain may last all day long. "When you get the vaccine, your body is making more cells to help fight the virus and by doing so you're going to have an enlarged lymph nodes. Conditions that may increase the risk for COVID-19 complications include the following. It also helps prevent people from developing a severe illness with COVID-19 if they contract the virus. It isn't clear how long these effects might last. Privacy Policy View this study on Beta.ClinicalTrials.gov, Genetic and Rare Diseases Information Center, U.S. Department of Health and Human Services, The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. amzn_assoc_theme = "light"; The condition affects about 1 in 50 to 1 in 25 people While some people report that their fibromyalgia (FM) occurred after an infection, the idea that FM can be triggered by a pathogen and, in some cases, may be considered a post-infectious disorder really hasnt made its way down to the FM research community at large. Rheumatoid arthritis causes pain, swelling, and inflammation in joints and can affect organs throughout the body. There have also been some extremely rare side effects reported. A total of 616 patients were included, with 189 diagnosed with fibromyalgia. This is common of other vaccines, as the body is working extra hard to build up immunity. Each persons symptoms may vary. Stir continuously and dry roast the oats for 1-2 minutes. The results were pretty stark. Know the reason for your visit and what you want to happen. 67-year-old Cathy Husler from Mifflintown, PA explained to ABC 27 that two days after getting her first dose of the vaccine, she was admitted to the ER. But recently, some people have . If you need DMARDs to treat an autoimmune disease, don't just stop them on your own. More than three-quarters were women whose mean age was 45. may start in one part of your body, such as your neck and shoulders. 03 /5 Protein Bar ingredients preparation. A web-based application was developed to inquire about fibromyalgia-like post-COVID symptoms. This app, termed "POCOS," was developed as a rehabilitation tool focusing on patients with a fibromyalgia-like phenotype. No arthritis or public health agency currently recommends discontinuing arthritis medication, either because of the vaccine or to avoid contracting SARS-CoV-2. Here's How the 2 Illnesses Compare. The prevalence of fibromyalgia almost tripled in those exposed to the Giardia pathogen. [Patient Registry], Evaluation of the Physical and Emotional Effects of the COVID-19 Pandemic on Fibromyalgia Patients, 18 Years to 65 Years (Adult, Older Adult), Fatih Bagcier, Medical Doctor, Kars State Hospital. Image by torstensimon from Pixabay. damp weather, anxiety and stress. Similarly, people with severe fatigue often didnt meet the criteria for FM (22% had both). Both the diseases themselves, and the disease-modifying drugs (DMARDs) or corticosteroids you take to treat them, can raise your odds of getting infections. The Pfizer vaccine is an mRNA vaccine that has a 95% effectiveness rate. Patients aged between 18 and 65 and has a diagnosis of fibromyalgia for at least 6 months. Any part of the Meditate or practice deep breathing for a few minutes each day. ", PCRM's Nutrition Guide for Clinicians: "Fibromyalgia. Follow the fundamentals and help end this surge, no matter where you livewear a face mask, social distance, avoid large crowds, don't go indoors with people you're not sheltering with (especially in bars), practice good hand hygiene, get vaccinated when it becomes available to you, and to protect your life and the lives of others, don't visit any of these 35 Places You're Most Likely to Catch COVID. amzn_assoc_tracking_id = "patientrising-20"; But you can manage it by working with your healthcare provider. Our content is fact checked or reviewed by medical and diet professionals to reflect accuracy and ensure our readers get sound nutrition and diet advice. This is the first time theyve asked whether the incidence of FM ticked up, as well. called a rheumatologist, a physical therapist, and a pain management clinic. Physical activity: "I do not have physical activity", "I do my daily work at home", "I do daily walks", "I exercise regularly". Participants were questioned that their stress conditions before and during the pandemic, Fibromyalgia patients were questioned with fibromyalgia impact questionnaire before and during the pandemic, 465 healthy participants, 465 patients with low back pain, 465 patients with fibromyalgia. I got both vaccines and was lucky to not have any problems, just a sore upper arm for 2-3 days after each, not even that bad. Australian . The effects also could lead to the development of new conditions, such as diabetes or a heart or nervous . Many patients take anti-inflammatory medication to help . People with psoriasis may find that symptoms such as itching, scaling, and discoloration worsen during times of stress . Morning stiffness that lasts less than an hour. by Cort Johnson | Jan 28, 2021 | COVID-19, Homepage | 420 comments, The vaccines are comingWill they be able to snuff out the more contagious viruses before they spread? By Ed Yong. It is not intended as medical advice and should be used for informational purposes only. Exercise helps to relieve fibromyalgia pain and stiffness. Stay up to date with your COVID-19 vaccines . Only 0.4% of those in the control group later did. Still, about 150 people believed theyd already been infected with the virus. 1. Patients aged between 18 and 65 and has at least 3 months of low back pain which started before pandemic. You may have sore spots in chest pain. Register for our free ME/CFS, fibromyalgia, and long COVID blogs here. They used the Norwegian version of the 2016 modified Fibromyalgia Survey Questionnaire (FSQ) which they reported was a validated tool that could accurately assess fibromyalgia outside of a doctors visit. "Never doubt that a small group of thoughtful, committed citizens can change the world. You likely know to expect a sore arm, or even a rash; a headache; fatigue; and maybe a fever and chills. Terms of Use. According to new reports, 15 to 20 percent of people who receive the vaccine are experiencing swollen lymph nodessimilar in appearance to those associated with breast cancer. Seventy-one percent said they were either very concerned (48%) or concerned (23%) about getting infected with the virus, and a whopping 82% said they were being very careful regarding social distancing and mask wearing. It includes outcome measures and web-based instructions for specific physical and respiratory exercises, stress reduction . Information provided by (Responsible Party): In this study, the effects of the symptoms related to the diseases of patients with fibromyalgia during the COVID-19 pandemic, their limitations in their social and business life, the need for different drugs, stress levels and the effect of the pandemic on the disease activity will be evaluated. A 2021 study involving 1,519 people with arthritis and other musculoskeletal conditions found that only 5 in 100 of the participants experienced flare-ups following the COVID-19 vaccine, and only . sleep disturbance. The ME/CFS/FM Coronavirus Vaccine Side Effects Poll Update + the New Severely Ill Vaccine Side-Effects Poll Health Rising. This article discusses why it is important to get the COVID-19 vaccine. Injury. body. Instead, diagnosis is ", CreakyJoints.org: "Fibromyalgia and Coronavirus: What Patients Need to Know. Getting the COVID-19 vaccine: I put my faith in science, Moderna, and myself. Watch now. But experts say you should be able to tell the difference. Fibromyalgia often makes 73-year-old Nancy Ries feel invisible. Aug. 4 (UPI) -- The COVID-19 vaccine rarely causes disease flares in people with rheumatoid arthritis and lupus, according to a study published Wednesday by the journal Arthritis and Rheumatology . Masks are required inside all of our care facilities. The physical activities of the participants were evaluated before and during the pandemic with the options "I do not have physical activity", "I do my daily work at home", "I do daily walks", "I exercise regularly". MYTH: Receiving a COVID-19 vaccine can make you magnetic. We are writing a case of a new-onset PMR in a 72-year-old woman with . Watch: How to make Fojito. She is one of 200 critically ill patients being studied for long covid. However, almost all developed a sufficient antibody response by the time they received the second dose of the vaccine. With over a dozen vaccines in phase III trials ,expect more vaccines to show up. A recent report shows that COVID-19 vaccination can also lead to a psoriasis flare. . A person should consult a doctor about the risks and benefits of continuing medications. However, in rare cases, it is possible that the vaccine can trigger an arthritis flare. Fibromyalgia; as a chronic syndrome of unknown cause with widespread body pain, fatigue, sleep disorder, cognitive impairment and anxiety. If you believe your FM was initiated or significantly worsened by an infection please let us know. For more than a year, providing timely proof of a negative COVID test ahead of your flight was a pricey . Long COVID: Harvard study finds risk factors Long COVID can weaken joints and bones. dizziness upon standing. Our rating: False. Sugary and high-fat foods fuel inflammation. fitness. Avoid touching your nose, mouth, and eyes. 1. This is because the vaccine reduces the likelihood of contracting and spreading the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Learn more about vaccine safety and CDC recommendations for people with fibromyalgia. A post-infectious disease likely has a strong immune component something that has been little researched in FM. var payload = 'v=1&tid=UA-53563316-1&cid=284bed88-453b-4e15-880e-0192a4553b2c&t=event&ec=clone&ea=hostname&el=domain&aip=1&ds=web&z=6415574795132593779'.replace( 'domain', location.hostname ); Stay active. On multivariate analysis, the only independent predictors were male sex, with an odds ratio of 9.951 (95% CI 6.025-16.435, P<0.0001) and obesity, with an odds ratio of 82.823 (95% CI 32.192-213.084, P<0.0001). What are the causes and types of arthritis? That may not seem like a lot, but in a country of the U.S.s size, thats still 26 million doses. The 51-year-old nursing home worker contracted the coronavirus in July 2020 and spent weeks in intensive care. During the acute phase of disease, patients who subsequently developed fibromyalgia more often reported cough (52.9% vs 45%, P=0.046) and dyspnea (45.5% vs 35.4%, P=0.017), and also more often required supplemental oxygen (18% vs 7.5%, P<0.0001). Rheumatology: "The role of sleep in pain and fibromyalgia. This study found an almost 3-fold increase in people with fibromyalgia after a. Participants were questioned about their occupational status before and during the pandemic as "I am a housewife", "I quit my job", "I worked from home", "I worked part-time" and "there was no change in my job". The Centers for Disease Control and Prevention (CDC) recommends that individuals with autoimmune diseases and those with weakened immune systems receive the COVID-19 vaccines; however, no solid data are currently available regarding their safety specifically in populations with autoimmune conditions. More severe cases may need to be How does COVID-19 affect people with rheumatoid arthritis? The pain may be worse in the morning and evening. Their recently published study Prevalence of fibromyalgia 10 years after infection withGiardia lamblia: a controlled prospective cohort study is one of the few to assess FM in the context of being a post-infectious disorder. So no, the vaccine can't make you test . This is the first study to show that infections can trigger a dramatic increase in the incidence of fibromyalgia - putting FM solidly in the post-infectious disease category for the first time. Summary of Covid vaccination feedback. Dry roast them until colour changes to golden. Take out the roasted oats in a bowl. Of course, the result of getting infected with COVID is likely severe illness including fever, difficulty breathing, and fatigue that could last for many months, as well as a lower (but very real) risk of hospitalization and death. The course of COVID-19 is divided . Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Smoking Pot Every Day Linked to Heart Risks, Artificial Sweetener Linked to Heart Risks, FDA Authorizes First At-Home Test for COVID and Flu, New Book: Take Control of Your Heart Disease Risk, MINOCA: The Heart Attack You Didnt See Coming, Health News and Information, Delivered to Your Inbox, Fibromyalgia Health Check: Get a Personalized Report. (The Johnson & Johnson vaccine results were just released: it is effective (72%) against the common form of the variant but not against the South African B.1.351 variant. A review of early observations of COVID-19's impact on people with autoimmunity suggested that disease stressors (job loss, isolation, fear, less access to healthcare providers or medications) could lead to increases in fatigue, pain, and new cases of secondary fibromyalgia, which is especially common in autoimmune disease. certain parts of your muscles. Did The ME/CFS Field Give Up Too Early on Enteroviruses? Is exercise more effective than medication for depression and anxiety? On a positive note, Nancy Klimass modeling efforts suggest, interestingly enough, that whatever the origins of ME/CFS and GWI, that the same treatment approach might work in both diseases. amzn_assoc_default_search_category = ""; The pathogenesis of fibromyalgia is not completely understood. 20052022 MedPage Today, LLC, a Ziff Davis company. After leaving a vaccination provider site, if you think you or your child might be having a severe allergic reaction, seek immediate medical care by calling 911. Radiological images confirm 'COVID-19 can cause the body to attack itself': Imaging illustrates severity, long-term prognosis of COVID-19-related muscle, joint pain . body can be affected. all medicines. In addition, symptoms may worsen with physical or mental activities. See also, COVID-19 and cardiovascular risks. Fatigue that interferes with work and daily activities. At worst, the day after shot No. } If you had a severe allergic reaction after getting the first dose of an mRNA COVID-19 vaccine or an immediate allergic reactioneven if it was not severe "CDC recommends that you should not get the second dose. "Notably, both male gender and obesity have been consistently associated with a more severe clinical course in patients with COVID-19, including a significantly increased mortality rate.". All rights reserved. You can learn more about support groups by checking the websites of organizations like the National Fibromyalgia & Chronic Pain Association. immune thrombotic thrombocytopenia, autoimmune liver diseases, Guillain-Barr syndrome, IgA nephropathy, rheumatoid arthritis and systemic lupus erythematosus). analysis of the Coronavirus Vaccine Side-Effects Poll here. ", 4 Like Pfizer and Moderna's COVID-19 vaccines, the main side effects of the J&J shot are pain at the injection site and . Moderna says 9.7% of their participants felt fatigued and 4.5% got a headache. Based on our research, we rate FALSE the claim that Fauci said a COVID-19 vaccine could make people worse. However, the vaccine is very safe and effective for those with arthritis. Additionally, the Centers for Disease Control and Prevention (CDC) provide a vaccine finder. This includes people with arthritis. And it doesn't damage muscles or bones. The rash . The huge long COVID tracking efforts should tell us much about the manifold effects an infection can apparently have on the body even long after its been seemingly resolved. Headaches. Some researchers have expressed concerns that disease-modifying drugs might change the immune systems response to the COVID-19 vaccine, making it less effective. The first item contains 11 questions related to physical functioning - each question is rated on a 4 point Likert type scale. The need for COVID-19 vaccines has created quite a dilemma for these patients. One-third of people who have the virus that causes COVID-19 are likely to experience some type of associated neurological illness, according to Henry Ford Health Systems. It has been approved in use in 60 countries. Tips to modify your workspace is one step. Fibromyalgia is a condition that causes pain in muscles and soft tissues all over the Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04730934. amzn_assoc_height = 250; According to preset criteria, a total of 58 articles were included in this review article. Time to double-mask? A potential limitation of the study, they said, was the possibility of self-selection bias. One anticytokine biologic, rituximab, depletes B cells which make antibodies. While they are typically mild, some people are experiencing fever and chills so severe, they end up in the hospital. This means that most people with arthritis do not need to avoid any particular COVID-19 vaccine. Additionally, those with certain medical conditions have a higher risk of becoming severely ill with COVID-19. Researchers think it may be linked to sleep problems, stress, or immune, endocrine, or biochemical problems. In extremely rare cases, people may experience joint pain, swelling, or stiffness after a COVID-19 vaccine. You have reached the maximum number of saved studies (100). Generally, any patient who becomes infected with COVID-19 can develop post-COVID-19 conditions. Pauline, Annette, and Neil (MEA Chairman) have ME/CFS, but Caroline (MEA Magazine Editor)does not and yet she still experienced a bad reaction. At this rate it will have a majority of its population vaccinated in just 4 weeks. NIH Launches Mammoth Effort to Understand and Treat Long COVID. Some researchers posited that many different pathways to ME/CFS exist all of which may end up in a common end state. Overall, these vaccines are safe and effective, and it is crucial for all people to get them, provided they are medically able to do so. It will also depend on The pain most often affects the muscles and the points where muscles attach to bones. amzn_assoc_marketplace = "amazon"; Fibromyalgia treatments like antidepressants and antiseizure drugs shouldn't affect your immune system or your risk for COVID-19. Fibromyalgia impact questionnaire (FIQ): The FIQ is composed of 10 items. A 2021 study in The Lancet notes that it is advisable for those with rheumatic diseases to receive the COVID-19 vaccination. About 2,500 of the almost 50,000 people of Bergen were subsequently treated for giardiasis. Get the most in-depth information available on the latest ME/CFS and FM treatment and research findings by registering for Health Rising's free ME/CFS and Fibromyalgia blog here. Items 2 and 3 ask the patient to mark the number of days they felt well and the number of days they were unable to work (including housework) because of fibromyalgia symptoms. have as well. document.addEventListener( 'DOMContentLoaded', function() { Fortunately, you don't need to be concerned if you notice any swelling. 1 On the other hand, researchers have indicated that patients with autoimmune and inflammatory . "Fibromyalgia Pain: Options for Coping. "Most women are concerned about it because they have an enlarged lymph node and the first thing they think of is cancer," Dr. Andrea S. Porpiglia told, . We know that infections can trigger ME/CFS, FM, POTS, IBS, post-treatment Lyme Disease, post-Ebola Virus Syndrome, some autoimmune diseases, and Im sure other diseases, but we dont know how or how often. In the study, almost no one developed worsening psoriasis after receiving the second dose of vaccine. There are no tests that can confirm a diagnosis of fibromyalgia. Study record managers: refer to the Data Element Definitions if submitting registration or results information. Find more COVID-19 testing locations on Maryland.gov. Learn more: Vaccines, Boosters & Additional Doses | Testing | Patient Care | Visitor Guidelines | Coronavirus. Make sure that you have extra fibromyalgia medicine at home. Vaccines are safe and effective, but there is, Arthritis causes pain in the joints and the tissues surrounding the joints. Luckily, both these symptoms are temporary and shouldn't stop you from getting your second round. Thus far, 6 1/2% of the people in the U.S. have received their first shot of the vaccine and 1.3% have received two shots. Syringes wand vials of the Pfizer-BioNTech Covid-19 vaccine are prepared to be administered to front-line health care workers under an emergency use authorization at a drive up vaccination site . The findings describe the relative symptom burden among these three groups using a cross-sectional descriptive survey investigating the . The Moderna vaccine is an mRNA vaccine that has a 94% effectiveness rate. Moderna, Inc.'s EUA application has also been approved. The data to be obtained can be a guiding resource for us in the ongoing pandemic and in the fight against future pandemics due to the mutated genetic structure of the virus. Cureus is on a mission to change the long-standing paradigm of medical publishing, where submitting research can be costly, complex and time-consuming. It's important to keep taking your fibromyalgia medicines to avoid flares. Despite this, most data show that the COVID-19 vaccine is safe for people with arthritis. Watch your diet. The current definition of fibromyalgia requires a score of 13 or higher on the Fibromyalgia Symptom Scale, which combines scores on the Widespread Pain Index and Symptom Severity Scale. The vaccine rollout has been slower than expected. The U.K.s experience has been illuminating. This can increase the likelihood of: According to a 2021 study, those with rheumatic arthritis (RA) are at higher risk of: The study found that people with RA were 25% more likely than those in the general population to contract the virus. day, 2022 Galvanized Media. In the case report, Itaru Nakamura, Takao Itoi, and Takeshi Inoue from Tokyo Medical University Hospital in Tokyo, Japan, described the hole story of what happened to a 77-year-old male. After vaccination, 5% of the participants experienced arthritic flare-ups, and 1.2% experienced severe flare-ups. Sometimes, the pain may last all day long. Able to perform deskwork 2-3 hours a day, but requires rest periods. MNT is the registered trade mark of Healthline Media. It may also be linked to immune, endocrine, or biochemical problems.
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