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Statements Author contributions WL and CL wrote the manuscript

The etiology of these symptoms is unknown, however several illness-causing mechanisms have been hypothesized, including microbial persistence, host immune dysregulation through inflammatory or secondary autoimmune pathways, or altered neural networks, as in central sensitization

The reimbursement difference between 11900 and 11901 reflects increased work for additional lesions but doesnt scale linearly

Gastrointestinal disorders Less frequent: Gastrointestinal complaints, such as nausea, vomiting, diarrhoea and abdominal pain

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