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The perceived load level is measured based on the subject's perception of exertion, including increased heart rate, breathing or respiratory rate, sweating, and muscle fatigue

However, the diagnosis and treatment of patients with long COVID to date has made it very clear that the majority of patients experience a multi-system syndrome characterized by fatigue with post-exertional malaise, cognitive deficits, depressed mood, stress-related head and joint pain, insomnia and vegetative dysfunction [99]

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While refrigeration is not required, avoid exposure to excessive heat or moisture common in Bangladesh's climate

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