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Birge RB, Boeltz S, Kumar S, Carlson J, Wanderley J, Calianese D, et al

The main considerations: seizure risk with bupropion in vulnerable patients, blood pressure effects (bupropion can raise BP slightly), and overlapping appetite suppression that can drive intake low

Prevention: Gentle rolling only

Nausea reduces fluid intake because people simply do not feel like drinking when they feel sick

This review proposes a unified gut-centric hypothesis that intestinal barrier integrity, microbial homeostasis, and mucosal immune balance collectively determine the hosts resilience to viral invasion and inflammation