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"Depending on the results of a patient's vitamin D blood test, I often recommend that they take a vitamin D supplement of 2,000 to 5,000 International Units (IU) of vitamin D daily." Dean has also discovered that being outside for long periods of time in extreme heat can lead to an MS flare-up, so when her family vacations, they often visit amusement parks and other tourist destinations in the morning hours

PMID: 23526962

Peer influence remains a dominant factor, with initiation often occurring in social contexts where vaping is normalised, particularly through friends, siblings, and informal peer networks within schools [38, 39]

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