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Clinically, it may be particularly helpful in patients with: Wheezing or respiratory symptoms Persistent hives or itching Abdominal cramping related to smooth muscle activation Studies in chronic idiopathic urticaria have shown that montelukast may reduce itch severity and hive frequency in some patients, particularly when used as adjunctive therapy

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Trends in Microbiology 2001 9 7179

Pregnancy, postpartum recovery, and perimenopause can all bring fatigue, mood changes, and brain fog that look very similar to early signs of pernicious anemia