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While improper antibiotic usage is an established driver, less is known about the impact of other endogenous and exogeneous environmental factors, such as metals, on AMR

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You might notice excessively large thighs and cylindrical legs with a sharp cut-off at the ankles, frequently referred to as the cuff-sign. The hands and feet usually remain completely unaffected, though some patients develop painful fatty nodules around their ankles

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