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The three liver fluke species have complex life cycles with definite hosts (i.e., humans and some animal reservoir hosts) and two kinds of intermediate hosts (i.e., freshwater snails and freshwater fish), characterized by an alternation of sexual and asexual reproduction in the different hosts (1113) (Fig

The selection follows a documented criterion that combines the InBody scan, baseline labs (including estradiol, FSH, IGF-1, fasting insulin, thyroid, vitamin D, and a metabolic panel), and a symptom map