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1988 Aug 31;91(2):160-4

Each is lyophilized for stability and shipped from the USA within 24 hours, with tracked 2 to 3 day delivery

Most-cited triggers: persistent GI symptoms, persistent fatigue, or the cycle simply ending

Cerebrospinal fluid tests are sometimes recommended to conclusively identify infectious causes such as Lyme disease, shingles, or other viral infections

The measurement of fluorescent probes such as fluorescein isothiocyanate (FITC)-dextrans [29] has also been used to assess intestinal permeability in vivo

So, this isnt even a conversation you can be having with most of your athletes that are coming into this