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The Jarisch-Herxheimer reaction was first identified by two dermatologists, Adolf Jarisch and Karl Herxheimer, while studying syphilis

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It cannot be purchased over-the-counter or online without prescriber involvement

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This compromised barrier facilitates the systemic translocation of immunostimulatory microbial derivativesparticularly endotoxin (LPS) and pro-fibrotic oxidized trimethylamine N-oxide (TMAO)which drive cardiac fibroblast activation, collagen deposition, and adverse myocardial remodeling

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