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2026 Feb;44(1):187-202

Key factors include: Timing of symptoms after vaccination Location of the injection Prior shoulder problems Physical examination findings Imaging studies may help confirm the diagnosis

"The anecdotal evidence, even from patients that I see, is that they feel like these injectables help them, but we just need to study it," he adds

These findings support that atypical and recombinant Toxoplasma strains are linked to more severe disease outcomes, especially in immunocompromised patients such as those with HIV or organ transplants [371,372,373,374]

Many studies have also shown that EW affects atherosclerosis