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doi: 10.1038/ismej.2012.158 55 LouisPDuncanSHMcCraeSIMillarJJacksonMSFlintHJ

320 , L508L521 (2021)

Together, this evidence suggests that stress-induced BBB dysfunction associated with combat may have allowed pyridostigmine to penetrate the brain and exert central neurotoxic effects that are characteristic of Gulf War Syndrome

Patients should be educated to recognize warning signs that may indicate infection, allergic reaction, or other complications requiring clinical assessment