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Biomolecules, 9 (8), 356

[DOI] [PMC free article] [PubMed] [Google Scholar] Yoshioka, Y

The Herxheimer reaction is a normal part of treatment for late stage or chronic Lyme disease, but it is important to make it tolerable

Under prolonged metabolic stress, it may progress to metabolic-associated steatohepatitis (MASH), liver fibrosis, cirrhosis, and hepatocellular carcinoma, which are among the leading causes of end-stage liver disease and liver transplantation