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There is no consensus as to how early steroid treatment must be initiated to be effective, but it is generally thought that it should be started as early as possible from symptom onset

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In a 2013 edition of that bulletin, the government reported that “At issue is whether exposure to alcohol or to the vapors of alcohol in many commercial products, such as personal care items, over-the-counter medications, cleaning products, desserts, wine vinegar, and the like or combinations of these products can cause elevation in EtG…that could suggest the person has resumed drinking