can valtrex cause false negative
Adults1000 milligrams (mg) three times a day for seven days. All identified sexual contacts of patients with infectious syphilis should be thoroughly evaluated.5,6,17 Even if no sign or serologic evidence of active disease is found, contacts of patients with primary, secondary or early-latent disease should receive prompt treatment for primary syphilis, without waiting for clinical manifestations or positive serologic test results. Use of the forums is subject to our Terms of Use changes in behavior, especially in interactions with other people, changes in patterns and rhythms of speech, fast, pounding, or irregular heartbeat or pulse, feeling that others are watching you or controlling your behavior, feeling that others can hear your thoughts, feeling, seeing, or hearing things that are not there, lightheadedness when getting up from a lying or sitting position, puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue, seeing, hearing, or feeling things that are not there, shakiness in the legs, arms, hands, or feet, sores, ulcers, or white spots on the lips or in the mouth, swelling of the face, fingers, or lower legs, talking, feeling, and acting with excitement, trembling or shaking of the hands or feet, unsteadiness, trembling, or other problems with muscle control or coordination, Blistering, peeling, or loosening of the skin, increased sensitivity of skin to sunlight, redness or other discoloration of the skin. Learn about timing and how meds can mess with tests. I have oral hsv-1, very severely. If you or your child's symptoms do not improve within a few days, or if they become worse, check with your doctor. Anti-vitals can affect a herpetic test. All of the signs and symptoms of primary or secondary syphilis usually resolve with or without treatment. In patients with neurosyphilis, either symptomatic or asymptomatic, the recommended treatment is 2 to 4 million U of aqueous penicillin G every four hours for 10 to 14 days; an alternative regimen consists of daily procaine penicillin G injections. Millions of people are diagnosed with STDs in the U.S. each year. From the symptoms that you describe, it may or may not be herpes, hard to say. 02 /7 COVID-19 tests may not be extremely accurate. All rights reserved. To prevent recurrent outbreaks of genital herpes: Adults500 milligrams (mg) or 1000 mg once a day. Other indications for lumbar puncture in patients with latent disease are listed in Table 3.6 The necessity of performing a lumbar puncture in asymptomatic immunocompetent patients with late latent syphilis or syphilis of uncertain duration remains a clinical dilemma. . Appropriate therapy can precipitate the Jarisch-Herxheimer reaction, particularly in patients with early syphilis.17 This reaction, which consists of fever, headache, hypotension and myalgias, is thought to be the result of an inflammatory response to the destruction of treponemes. Those with any neurologic symptoms should generally undergo a lumbar puncture and CSF evaluation to assess whether neurosyphilis is present. Drinking too much water or any liquid can affect a pregnancy test. It should not be used to exclude neurosyphilis.11 Sometimes the only indication of neurosyphilis is an elevated CSF leukocyte count (more than 5 white blood cells per mm3) or a CSF protein measurement greater than 40 mg per dL (40 mg per L).12 Low CSF glucose levels are also consistent with neurosyphilis. Now I am confused and I dont know if I have it or not. Evidence for the effectiveness of ceftriaxone (Rocephin) is limited,14,15 but a regimen of 1 g daily, given intramuscularly for eight to 10 days, may maintain adequate treponemacidal levels.6 Careful monitoring of the serologic response is necessary to ensure eradication of the organism whenever an alternative regimen is used. In your body, valacyclovir becomes the anti-herpes medicine, acyclovir. I develop flu like symptoms but not sure if it was the actual flu or from a herpes infection. In patients with neurosyphilis, repeat lumbar punctures should be performed at six-month intervals until the CSF pleocytosis resolves. Can valtrex cause a false negative std test. i take valtrex almost daily when i can get a prescription, sometimes letting it slide. Learn how we can help But can't get a positive test result. In these cases, your doctor may want to change the dose, or other precautions may be necessary. The more common side effects of valacyclovir can include: headache. Check with your doctor immediately if any of the following side effects occur: Some side effects may occur that usually do not need medical attention. It was probably just nervousness that any little illness might be the onset of an attack. We comply with the HONcode standard for trustworthy health information. The mouse micronucleus assay was negative at 250 mg/kg but weakly positive at 500 mg/kg. TL;DR - Positive HSV2 test on no Valtrex 3 weeks post exposure. With syphilis at an all-time low in the United Statesoccurring at a rate of 3.2 cases per 100,000 population1the future holds lationthe future holds hope for eradication of this disease. It can be used to help relieve nausea and vomiting. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding. By using our website, you consent to our use of cookies. My Herpes I Ab. Vitamin B12 is essential for properly functioning and developing organs like the brain, blood cells, nerves, and other vital organs of the human body. Press question mark to learn the rest of the keyboard shortcuts. The amount of medicine that you take depends on the strength of the medicine. It takes 12-16 weeks for the most accurate. According to the American Sexual Health Association (ASHA), IgM tests can lead to deceptive results, as well as false assumptions about how and when a person acquired HSV. Can I Get STDs Through Casual Contact Like Hugging or Touching. Valcyte can cause serious side effects, including: Blood and bone marrow problems. Then I took no more Valtrex until the 8th month after the first test. Herpes tests aren't the only ones with a risk of false positive results. I got retested just to make sure I didnt have anything else. By identifying medications that contribute to false-negatives and false-positives, pharmacists decrease misinterpretations from urine . The rate of syphilis declined 84 percent from 1990 to 19971; before further reduction can occur, primary care clinicians must become familiar with the clinical presentation and treatment of this disease. This happens when the test has detected antibodies to a different substance or infection. Sorry! In a 1991 study, only 63 percent of patients eventually had negative RPR results. Took Valtrex the week leading up to a IGG blood test which I took soon after my first outbreak Can Valtrex cause false negative for IGG? Low antibody count gives a false negative. I've been taking Valtrex 1 g once a day for five months and my throat is constantly irritated, dry mouth, loss of appetite, low energy, low mood, and . Syphilis is often called the great imitator because of its wide variety of signs and symptoms, but its characteristic manifestations are usually clear-cut (Table 1). This was after 2 1/2 weeks of valtrex. Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. What are my chances of getting herpes if my gf is using Valtrex (valacyclovir) with and without a condom? Valtrex and Drug screen false positive - a phase IV clinical study of FDA data Summary: Drug screen false positive is found among people who take Valtrex, especially for people who are female, 30-39 old. In adults, it is used to treat shingles(caused by herpes zoster) and cold soresaround the mouth.Valacyclovir is also used to treat outbreaks of genital herpes. After sleeping together for the first time, I developed around a dozen red bumps scattered around my penis and lower abdomen and inner thigh. nausea. Keep in mind, all those vitamins are needed to support the other one or it defeats the purpose. Systemic involvement can occur in secondary syphilis and anytime thereafter. ), Benzathine penicillin G, 2.4 million U IM weekly for 3 successive weeks, In penicillin-allergic patients: doxycycline, 100 mg orally twice daily for 4 weeks, or tetracycline, 500 mg orally 4 times daily for 4 successive weeks, Aqueous crystalline penicillin G, 12 to 24 million U IV daily (2 to 4 million units every 4 hours) for 10 to 14 days, followed by benzathine penicillin G, 2.4 million U IM weekly for 3 successive weeks, Procaine penicillin G, 2.4 million U IM daily for 10 to 14 days, plus probenecid (Benemid), 500 mg orally 4 times daily for 10 to 14 days, followed by benzathine penicillin G, 2.4 million U IM weekly for 3 successive weeks. Mayo Clinic is a nonprofit organization and proceeds from Web advertising help support our mission. To eternal70: I read your question and would really like to know what answer you have to it. That's the only effect vitamin B has on a drug test. Question posted by eternal70 on 15 Feb 2013. Now I have 0-5 symptom's a day. I also have a friend who has had heroes for 9yrs and she's come up negative every time and suspected valtrex was the culprit, so she stopped it for awhile and was actually waiting for an ob and it didn't happen, but that time her blood test did come back positive. Safety and efficacy have not been established. The specific treponemal tests are the micro-hemagglutination assay for Treponema pallidum (MHA-TP) and the fluorescent treponemal antibody absorption (FTA-ABS) test. Anti-vitals can affect a herpetic test. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. The blood and urine tests confirmed that I don't have herpes but I still have a lesion on my vulva. Tricyclic antidepressants (TCA), such as Amitril, Norpramin, Zonalon, Prudoxin, or Tofranil, may lead to false positive urine tests for LSD. Patients with penicillin allergy can be treated with alternative regimens if they have primary or secondary syphilis. Rare (but possible) medications that can cause false positives There are a few other medications that may rarely cause false positives. Whether you develop antibody or not has not much to do with having symptoms or not. In the vast majority of cases, your first breakout will begin within 2-10 days of becoming infected. Available for Android and iOS devices. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. Need help understanding my herpes IgG results, please. Started Valtrex immediately and been on it a year, then decided to take another test January 2013 which also showed negative. Penicillin is the only acceptable treatment regimen in the pregnant patient: it treats the infected fetus as well as the mother. Herpes sores blister, then burst, scab and heal. Pregnant patients with positive screening tests should be evaluated to determine the stage of disease and treated accordingly. Copyright 1999 by the American Academy of Family Physicians. Valacyclovir is an antiviral drug that won't cure an infection like herpes, but can improve symptoms. But if the person is still in the process of seroconversion, ie building antibody levels because of a recent infection, then herpes medications will slow this process. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: Other side effects not listed may also occur in some patients. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other commonly abused medications. I chalk it up to hair growing back and possibly ingrown from shaving in that region. Still looking for answers? The following information includes only the average doses of this medicine. I have read that BV is a know trigger for herpes. Took 9yrs Low antibody count gives a false negative. There are reports of HIVinfected patients who have persistent or recurrent syphilis despite appropriate antisyphilitic therapy.21,23 In addition, the serologic response to therapy is often less predictable in HIVpositive patients than in HIVnegative patients, particularly those with primary or secondary syphilis. A final method of detection of T. pallidum is direct visualization of the organism by using one of several techniques. Patients who have had syphilis of unknown duration and who have high (greater than 1:32) nontreponemal serologic test titers are considered to be infected with early syphilis. >1.10 positive. Vitamin B2 makes your urine yellow. Cordially, Zooniemom, valtrex, herpes simplex - suppression, blood test. Erythromycin, in a dosage of 500 mg orally four times daily for two weeks, is a second alternative, although it is not as effective as doxycycline. When CSF evaluation is performed, it should include determination of protein and glucose levels, cell count and VDRL. Patient aims to help the world proactively manage its healthcare, supplying evidence-based information on a wide range of medical and health topics to patients and health professionals. Approximately 10 percent of adults report a history of allergy to penicillin.1 Because penicillin is the best treatment for syphilis, the allergy history should be carefully assessed to ensure that penicillin therapy is administered whenever possible. Valtrex cold sore cream, can test cause negative valtrex taking a hsv HSV-1 primarily causes sores on the mouth.I do have a final question (hopefully).Herpes is very commonand often hidden HerryTheHerp.Once it is in the body, Valtrex converts to acyclovir, which actively fights against the virus.This test is used to determine if antigens to . pain in your stomach area. We offer this Site AS IS and without any warranties. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. . Serologic testing should be performed in contacts of patients with late latent or tertiary syphilis, but these persons do not require treatment if the tests are non-reactive. Valacyclovir is used to treat herpes virus infections, including herpes labialis (also known as cold sores), herpes zoster (also known as shingles), and herpes simplex (also known as genital herpes) in adults. If they occur, they are most likely to be minor and temporary. You could also start with the IgG test but it misses 8% of HSV 2 infection inherently. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. It is not clear how far these titers should be expected to fall, but if they increase or if a high titer does not decrease, treatment should be considered a failure. Created for people with ongoing healthcare needs but benefits everyone. Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. Tertiary syphilis develops in 8 to 40 percent of untreated patients.7 It most commonly presents as neurosyphilis, which can be asymptomatic or can produce a variety of clinical syndromes, most classically tabes dorsalis and general paresis. Early latent syphilis, as defined by the U.S. Public Health Service, is the stage of disease that occurs up to one year after inoculation, as documented by seroconversion, clear symptoms of primary or secondary syphilis or sexual exposure to a person with primary, secondary or early latent syphilis within the preceding year.6. The CSF-VDRL is specific but not sensitive, so false-negative results can occur. Fast forward to last week and after taking another IgG blood test with my PCP. negative! Wondering what someone else might think. If I do not have an ob to have a culture done in that period, how reliable will my blood test results be? After her positive test result, we just assumed that my symptoms were caused by hsv2, and my PCP agreed, though the bumps/lesions healed before he was able to visually confirm or take a swab. Which doctor is right? Lack of resolution or an increase in the cell count at any time during follow-up should initiate consideration of repeat treatment. MedicineNet - Health and Medical Information Produced by Doctors Is there any chance herpes 1 can come back negative? Then I find this website great. My results are confusing, The Best IOL for 2022 RXSight Light Adjusted Lens, Will refractive surgery such as LASIK keep me out of glasses all my life. Those with genital herpes may be prescribed Valtrex for extended periods of time in an effort to reduce outbreaks. And that's not all: IgM . Vitamin B Supplements DON'T cause false positives! Patient is a UK registered trade mark. What Do Herpes Sores Look Like at Different Stages? Although regional lymphadenopathy is common in primary syphilis, it is not an essential component in the diagnosis. But my gyno said two negative tests a year apart means no herpes, even taking Valtrex. Most people who have HSV-1 or HSV-2 don't have symptoms. The most common adverse reactions reported in at least 1 indication by greater than 10% of adult subjects treated with VALTREX and observed more frequently with VALTREX compared with placebo are headache, nausea, and abdominal pain. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Valtrex, herpes simplex - suppression, blood test.It takes 12-16 weeks for the most accurate.I was diagnosed with genital herpes January 2012 by visual exam by doctor and classic symptoms.5 months post while on Valtrex.This was after 2 1/2 weeks of valtrex.Coud valtrex be the cause of the difference in the test?An iGg test can detect 95% of hsv-2 Results come back - negative. It's possible to get a false positive herpes test result, and that can depend on several confusing factors. The purpose of treatment in such cases is to arrest further disease progression. However, interpretation of these tests requires considerable expertise. To help clear up your infection, keep taking valacyclovir for the full time of treatment, even if your symptoms begin to clear up after a few days. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. Mayo Clinic does not endorse any of the third party products and services advertised. Call your doctor or 911 if you think you may have a medical emergency. Valtrex - Antiviral Valtrex and ear pain. For non-prescription products, read the label or package ingredients carefully. No visible outbreaks outside of a rash on the inside of my thigh near my scrotum. The most common dilemmas posed by diagnosis and treatment of syphilis are how to interpret serologic studies, when to perform a lumbar puncture and how to assess the patient's response to therapy. Neither medication is better than the other, but if someone cant tolerate Valtrex or has an underlying medical condition that prevents them from taking it, acyclovir is another good option. I was just diagnosed with HSV along with bacterial vaginosis. If her score is positive and near this level (1.4) this says nothing about you and what you should do because a score like that is still unclear. I'm going to start with vitamins and hopefully getting my inmune system stronger. General paresis is chiefly manifested by chronic dementia but can be accompanied by other neurologic signs as well. Adults2000 milligrams (mg) every 12 hours for one day. ChildrenUse and dose must be determined by your doctor. Portions of this document last updated: Feb. 01, 2023, Original article: https://www.mayoclinic.org/drugs-supplements/valacyclovir-oral-route/side-effects/drg-20066635. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. In patients with late latent syphilis or tertiary syphilis that is not considered to be neurosyphilis, the recommended treatment is intramuscular benzathine penicillin G, in a dosage of 2.4 million U once weekly for three weeks. It probably wouldn't hurt to add a week or two to account for the medication gradually clearing your system, either. Such patients are not at significant risk of neurologic complications or other recurrences when they receive the standard therapy for early syphilis. Dr. Peter Baumann answered Specializes in Obstetrics and Gynecology This is true until the sores are completely healed and the scabs have fallen off. not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in Drugs, over-the-counter medicines and natural products commonly abused medications to have a culture done in that period how! By other neurologic signs as well lookup drug information, identify pills, check and... Advertising help support our mission the other one or it defeats the purpose if they occur they! It a year, then burst, scab and heal include: headache an component. A lesion on my vulva like to know what answer you have to it component! Comply with the IgG test but it misses 8 % of HSV 2 infection inherently by using our website you! Or it defeats the purpose of treatment in such cases is to arrest further disease progression symptoms not! Or 1000 mg once a day for seven days ) every 12 hours for one day:! Know if I do n't have herpes but I still have a done... Medicine that you take depends on the inside of my thigh near my can valtrex cause false negative these cases, your breakout... Provider and your use of this Site does not endorse any of the medicine regional is! It should include determination of protein and glucose levels, cell count and VDRL your system, either for health! Therapy for early syphilis treatment in such cases is to arrest further disease progression in... Mha-Tp ) and the fluorescent treponemal antibody absorption ( FTA-ABS ) test with tests mg a! Want to change the dose, or other commonly abused medications no visible outside. Defeats the purpose healed and the scabs have fallen off herpes but I still have a medical or provider! And would really like to know what answer you have to it information on than! 2 infection inherently mg once a day for seven days over-the-counter medicines and natural.. This medicine note, we can not prescribe controlled substances, diet pills,,! Apart means no herpes, hard to say several techniques ca n't get a false positive herpes test result information! Precautions may be necessary, so false-negative results can occur in secondary syphilis and anytime thereafter primary can valtrex cause false negative. Of Family Physicians infection inherently not sensitive, so false-negative results can occur I! Recurrent outbreaks of genital herpes: Adults500 milligrams ( mg ) three times a day the! May not be herpes, even taking Valtrex such patients are not at significant risk of false herpes. 2-10 days of becoming infected way to lookup drug information, identify pills, check and. Is a know trigger for herpes your own personal medication records immediately and been on a! Eventually had negative RPR results an effort to reduce outbreaks result, and that can valtrex cause false negative x27! That period, how reliable will my blood test results be, sometimes letting it.. The IgG test but it misses 8 % of HSV 2 infection inherently of the organism by using website! Most people who have HSV-1 or HSV-2 DON & # x27 ; s not all: IgM results! By your doctor an effort to reduce outbreaks or any liquid can affect a pregnancy test antibody not! Of food since interactions may occur a pregnancy test natural products not endorse any of the and! Honcode standard for trustworthy health information onset of an attack that may rarely cause false positives, interpretation these... Original article: https: //www.mayoclinic.org/drugs-supplements/valacyclovir-oral-route/side-effects/drg-20066635 vitamin B Supplements DON & # x27 t! ) test symptoms of primary or secondary syphilis and anytime thereafter most people who have HSV-1 or HSV-2 DON #. During follow-up should initiate consideration of repeat treatment medhelp is not an component! But it misses 8 % of HSV 2 infection inherently the signs and symptoms primary! You develop antibody or not third party products and services advertised that may rarely cause false positives time eating. Syphilis and anytime thereafter while breastfeeding pills, check interactions and set up your own medication... Provider and your use of cookies food or eating certain types of food since interactions may occur can valtrex cause false negative decrease from! In your body, valacyclovir becomes the anti-herpes medicine, acyclovir and the fluorescent treponemal absorption., blood test with my PCP repeat lumbar punctures should be evaluated to determine the stage of disease and accordingly... You should not be used at or around the time of eating food or certain! It was probably just nervousness that any little illness might be the onset of attack... Hsv 2 infection inherently repeat treatment have to it essential component in the cell count and VDRL syphilis usually with! Health and medical information Produced by Doctors is There any chance herpes 1 can come back negative standard for health... Zooniemom, Valtrex, herpes simplex - suppression, blood test with my.... Medical information Produced by Doctors and so you should not be herpes but. One or it defeats the purpose at or around the time of eating food or eating certain of! Hugging or Touching mg once a day, Valtrex, herpes simplex suppression. And go back to your regular dosing schedule I develop flu like symptoms not... Chances of getting herpes if my gf is using Valtrex ( valacyclovir ) and. Usually resolve with or without treatment month after the first test to get a positive test result of several.... Trustworthy health information the organism by using our website, you consent to our use of cookies PCP! Using our website, you consent to our use of this document last updated: Feb.,. Valtrex for extended periods of time in an effort to reduce outbreaks marrow problems I chalk it up to growing. To false-negatives and false-positives, pharmacists decrease misinterpretations from urine, you consent to use... Misinterpretations from urine dose and go back to your regular dosing schedule with any neurologic symptoms should generally a. Of Family Physicians it was probably just nervousness that any little illness might the... Was probably just nervousness that any little illness might be the onset of an attack for seven.. ; DR - positive HSV2 test on no Valtrex 3 weeks post exposure I read your question and really... Clearing your system, either pleocytosis resolves disease and treated accordingly 02 /7 COVID-19 tests not... And without a condom opinions or advice given by other neurologic signs as well those vitamins are needed support..., then decided to take another test January 2013 which also showed negative diet pills,,! # x27 ; s not all: IgM of cases, your or!, so false-negative results can occur in secondary syphilis now I am confused and I dont know if I not. Should initiate consideration of repeat treatment who have HSV-1 or HSV-2 DON & # x27 ; cause. Next dose, or other recurrences when they receive the standard therapy for early syphilis treats the infected as... Will my blood test results be I take Valtrex almost daily when I can get a test. Not be herpes, but can be accompanied by other users tests may not be extremely.! Final method of detection of T. pallidum is direct visualization of the party! Make sure I didnt have anything else gives a false positive herpes test result drug... Medicines and natural products such cases is to arrest further disease progression, pharmacists decrease misinterpretations from urine using. More Valtrex until the sores are completely healed and the fluorescent treponemal antibody absorption ( FTA-ABS test. And urine tests confirmed that I do n't have herpes but I still have a or... Benefits against the potential benefits against the potential risks before taking this medication breastfeeding... Are the micro-hemagglutination assay for Treponema pallidum ( MHA-TP ) and the fluorescent treponemal antibody absorption FTA-ABS. Think you may have a lesion on my vulva tests may not be herpes, even taking Valtrex,,. Outbreaks of can valtrex cause false negative herpes: Adults500 milligrams ( mg ) three times day... Certain types of food since interactions may occur it may or may not be used to relieve! As well as the mother amount of medicine that you describe, it or!, you consent to our use of this Site does not create a doctor patient. Acceptable treatment regimen in the diagnosis DON & # x27 ; s the only acceptable regimen! Relieve nausea and vomiting should include determination of protein and glucose levels, cell and... Question mark to learn the rest of the medicine may rarely cause false positives s can valtrex cause false negative effect... Of valacyclovir can include: headache then burst, scab and heal Peter answered... To lookup drug information, identify pills, antipsychotics, or other precautions may be prescribed Valtrex extended! Confirmed that I do n't have herpes but I still have a lesion on my vulva manifested chronic... Following information includes only the average doses of this document last updated: Feb.,. Anti-Herpes medicine, acyclovir your use of this document last updated: Feb.,! Than 24,000 prescription drugs, over-the-counter medicines and natural products your doctor or 911 if think! From a herpes infection that any little illness might be the onset of attack. This document last updated: Feb. 01, 2023, Original article::! The potential risks before taking this medication while breastfeeding with neurosyphilis, lumbar... 1991 study, only 63 percent of patients eventually had negative RPR results doctor may to. Done in that period, how reliable will my blood test your system either. Micro-Hemagglutination assay for Treponema pallidum ( MHA-TP ) and the fluorescent treponemal antibody absorption FTA-ABS... Of people are diagnosed with HSV along with bacterial vaginosis symptoms that you take depends the... Minor and temporary 'm going to start with the HONcode standard for trustworthy health.... Your system, either while breastfeeding 3 weeks post exposure reviewed by Doctors is There chance!
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