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Prophylactic protection against Soman with PB & the Gulf War Syndrome: Because of its rapid aging, the US military employed the use of oral pyridostigmine (PB) to ~250,000 soldiers as a form of prophylactic protection for soldiers in combat situations where exposure to soman was likely

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Clin Gastroenterol Hepatol 22(8):15861595 Saddique MN, Saleem S, Shahid I, Javid S, Khan MH, Iqbal J (2024) The estrogen-gallstone connection: uncovering the pathways

Thank you Your baseline risk was likely higher than average due to the mutation but the surgery was a definite risk factor as well likely a combination of the two