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putrefaciens can also be isolated from freshwater environments (DiChristina and DeLong, 1993

Kim MP, Correa AM, Hofstetter WL, Mehran RJ, Rice DC , Roth JA, Vaporciyan AA, Walsh GL, Erasmus JJ, Swisher SG

Past that, it's just due diligence

Exposure to endocrine-disrupting compounds such as phthalates and bisphenol A is associated with an increased risk for obesity

however, its important to note that more severe cases may occur and require prompt medical attention

Corroborating evidence is that CBF in ME/CFS patients can be increased by the administration of the alpha 1 agonist phenylephrine, and that cognitive dysfunction decreases with such infusion (Medow et al., 2014)