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You also need to take care of your diet and exercise regularly

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Have Lyme Disease or suspect you do

In these cases we do have the option of our Medical Exemption Application (MEA)

For hepatic impairment specifically, the evidence hierarchy places the current knowledge base at Level 5 (expert opinion and mechanistic reasoning) on the Oxford Centre for Evidence-Based Medicine scale [11]

Persistent severe symptoms that interfere with daily activities or lead to dehydration should prompt immediate medical consultation, as medication discontinuation or alternative treatments may be necessary