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(The bit on ph was noted in Counselor Notes 21

10.2147/ndt.S241497 127 SatoM.KusumiR.HamashimaS.KobayashiS.SasakiS.KomiyamaY.et al (2018)

& Ainslie, P

Persistent worsening beyond several weeks, or anything more significant than mild redness or textural change, is a reason to pause and reassess rather than push through