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So good question, Seth
However, ILADS CLD is a symptom-based definition and therefore ongoing infection is difficult to assess in individual patients with no currently available biomarker test, and given the large degree of symptom overlap between CLD and other illnesses

For a medical clinic, this category is not worth the risk

Notably, it can lead to a false-positive pregnancy test due to its molecular similarity to endogenous pregnancy HCG, which is the target of standard hCG immunoassays
