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The auto-reply makes it clear that it takes at least one business day, which sets expectations correctly but is slow next to clinics offering 24/7 chat

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(16) Studies suggest that people get appendicitis more during the summer than at other times of the year

The good news is that neuroinflammation is a big deal in central nervous system diseases, and benefits from fighting it in those diseases may very well accrue to people with ME/CFS and FM