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It may be possible to treat the underlying disease by surgical correction of anatomic lesions leading to small bowel bacterial overgrowth, expulsion of fish tapeworm, discontinuation of drugs leading to vitamin malabsorption (see Drug/Laboratory Test Interactions), use of a gluten free diet in nontropical sprue, or administration of antibiotics in tropical sprue
As with any laser treatment, sun tanning should be avoided before and after the treatment

10.1038/nrn3811 44 Muoz-LuqueJ.RosJ.Fernndez-VaroG.TuguesS.Morales-RuizM.AlvarezC
Some patients and athletes report faster pain relief and improved mobility within two to six weeks of use, but these accounts lack the scientific rigor of randomized, controlled studies

Wilding JPH, et al