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These cases had a subtle onset and were accompanied by nonspecific symptoms such as malaise, myalgias, abdominal pain, respiratory distress, or increased somnolence

Such disruptions have been associated with worsened DED symptoms, decreased corneal barrier function, and reduced epithelial cell density, indicating a negative correlation between microbial diversity and DED severity (Mendez et al., 2020)

Labs, if needed: Some users are asked to get bloodwork before approval