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Instead, thus far, the only evidence to support a role for antibody-mediated enhancement relates to the presence of high antibody levels in individuals with severe disease 1

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the release from the immune and epithelial cells of TNF-a is unregulated, and second, cells become progressively more sensitive to peroxidation damage as a result of continued TNF-a release, exacerbating local oxidative stress, which goes on to lessen available glutathione, often resulting in intensification of symptoms

Yes, a diagnosis from a licensed Clinical Neuropsychologist, Psychiatrist, or Neurologist using DSM-5 criteria is recognized in the US, Canada, and most of Europe