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For example, botulinum neurotoxin is associated with a hemagglutinin complex or other protein complexes that either bind to specific receptors on the enterocyte luminal cell membrane or disrupt the junctional protein E-cadherin to open the paracellular spaces for the absorption of the toxin [83]

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Testing is also useful when fatigue is severe

For people whove been told they just have to live with it, this changes the conversation