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Description
Additionally, a synthetic Exe4 peptide solution (Wako) was prepared

Almost four days went by before I woke up one morning with crippling pain in my lower gut it took an hour on the toilet to relieve myself

Retrieved from Blachier, F., Andriamihaja, M., Larraufie, P., et al (2021)

It's more likely to be caused by diabetes if it's accompanied by unexplained tiredness, feeling very thirsty, and passing more urine than normal.
