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These episodes can last minutes to hours but may indicate an underlying circulatory disorder

It also has a direct effect on immune function

Disclosures Human subjects: Informed consent for treatment and open access publication was obtained or waived by all participants in this study

For example, for a cyclist where you might suspect the cycling as being the causative factor underling their symptoms, you may recommend a change in handlebars or grip to help alleviate symptoms

Clinicians are unprepared, which is why health systems need to prioritise training, early identification, and finding a better way to reduce harm in young people, he said