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Seek immediate medical attention if swollen lymph nodes are accompanied by fever, night sweats, rapid enlargement, hard or fixed nodes, nodes larger than 1-2 cm persisting beyond two weeks, or signs of allergic reaction such as difficulty breathing or facial swelling

HIV is known to disrupt gut homeostasis and the integrity of the intestinal epithelial lining, contributing to chronic immune activation and inflammation despite viral suppression on antiretroviral therapy

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doi: 10.1177/1403494811405098 [DOI] [PubMed] [Google Scholar] 22

One shipment identified a London Heathrow Airport hotel as the manufacturer