Eventually, this phenomenon became known as the Jarisch-Herxheimer reaction. Over the years, patient communities have adopted a shortened version of the full name, calling them Herxheimer reactions, which Ill use moving forward, or herxes. The reaction tends to happen in people with spirochetal infections, such as Lyme disease, relapsing fever, and others, when theyre treated with antibiotics, according to a medical review in StatPearls
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PLoS ONE, 20 (4), e0326210
The regulatory oversight of the manufacturing process and finished product quality control is different
Additionally, the metabolism of alcohol produces acetaldehyde, a toxic compound that contributes to feelings of malaise