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The most common way it spreads is from person-to-person, but it can also come from touching infected surfaces

Journal of Ethnopharmacology , 139(3), 796800

For example, early studies tended to use chronic high frequency constant-current stimulation, while some of the later studies used chronic intermittent constant-voltage stimulation (e.g., 185 Hz, 210 s, 15 min on, 26 h off [144])

doi: 10.1353/HPU.2011.0166 44 AlhomoudISTalasazAHChandrasekaranPBrownRMehtaADixonDL

The characteristic feature of hypokalemic alkalosis in Bartter and Gitelman syndromes distinguishes these TAL and DCT disorders from other salt-losing tubulopathies resulting from electrolyte transport defects in other segments of the nephron