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In some cases, improvements in energy or hydration are sustained for more extended periods (25 days)

For any patients presenting with compatible illness, inform the Victorian Poisons Information Centre on 13 11 26 who can provide clinical and specific testing advice

Actionable Takeaway Incorporate a brief environmental history and screening into visits for chronic, multisystem complaints: ask about water damage/musty odors, humidity levels, HVAC maintenance, visible condensation, dust burden, and car exposures

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