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Yet there were no reported cases until the arrival of British troops during the second world war, shortly after which time an epidemic of MS broke out, leading the prominent epidemiologist John Kurtzke to conclude that MS might be a transmissible infectious disease (Kurtzke, 1993)

PubMed Central, Weinstock, Leonard B., et al

Contraindications Given the limited safety data, conservative contraindications would include pregnancy or plans to become pregnant, breastfeeding, age under 18, severe liver or kidney disease, and any condition requiring medications with unknown interaction potential

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