Complex, but...: Far too complex to answer here. Briefly, no known precautions can avert in susceptible individuals. Among some of the potential causal correlations include history of Ebstein-Barr virus, adolescent obesity, living in Northern latitudes, adolescent obesity, low Vitamin D, smoking, high fat/salt diet, rare genetic issues (identical twins, father/mother, suscept. genes). Treatment: Potent DMT!
Answered 6/19/2021
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