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10.1385/1-59259-413-1:273 [DOI] [PubMed] [Google Scholar] [236].Shivdasani R.A

Kalogerakou, T., & Antoniadou, M

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For instance, the absence of standardized definitions for NSW across studies, the difficulty in quantifying long-term exposure retrospectively, and the often-subtle nature of biological changes, all hinder the establishment of causality and the development of occupational exposure limits 35

Classic infections such as Campylobacter spp , Chlamydia trachomatis , Clostridium difficile , CMV, Amoebas, HSV, Salmonella, Shigella, Yersinia, and Mycobacterium tuberculosis all need to be ruled out

However, it is unclear if the effects are solely due to vitamin supplementation because they were given in combination