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The most common initial symptom in this large series, observed in 68% of the patients when first seen, was the insidious onset of proximal leg stiffness followed by rigidity concurrently in the abdominal, lumbosacral and thoracic paraspinal muscles, lumbar hyperlordosis and impaired gait

Moreover, an increased relative abundance of several Lactobacillus strains was also detected, such as L

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A commentary on the extent of historical livestock losses attributed to selenosis on western US rangelands