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Any issues regarding returns or dissatisfaction should be directed to the customer service department within a month of purchase. Any customers who receive damaged or opened products should contact the hotline immediately upon receiving the product in order to obtain a replacement package. The service will also answer questions regarding components of the supplement like active and inactive ingredients as well dosage size and instruction. Unfortunately, there is no overnight customer service provided, so customers living in other parts of the world will have to contact the company during the set times.

There is no clear cause of appendicitis. Fecal material is thought to be one possible cause of obstruction of the appendix. Bacteria, viruses , fungi, and parasites can result in infection, leading to the swelling of the tissues of the appendix wall. The various infecting organisms include Yersinia species, adenovirus , cytomegalovirus, actinomycosis, Mycobacteria species, Histoplasma species, Schistosoma species, pinworms , and Strongyloides stercoralis . Swelling of the tissue from inflammatory bowel disease such as Crohn's disease also may cause appendicitis.

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