The CIRS Group Podcast

thecirsgroup

CIRS, or Chronic Inflammatory Response Syndrome, can happen to 25% of the population and is usually triggered by a biotoxin in the environment, like mold, red tide, lyme (tick bite), and even some medical interventions. Those with CIRS are susceptible to these toxins and cannot clear them on their own. Thankfully, treatment is possible, but given that people suffering with CIRS have difficulty processing new information, we created The CIRS Group and now, this podcast, to help people better understand and identify this treatable illness. Jacie is a 3 year carnivore, certified nutrition coach, and carnivore recipe developer determined to share the life changing information of carnivore and CIRS to anyone who will listen. Barbara is a wealth and wellness coach, 2 year carnivore and a big fan of health and freedom. Along with Jacie, she co-founded The CIRS Group, an online support community to help people that are struggling with their CIRS diagnosis.

  1. 6H AGO

    “I’ll Try Anything” Medicine: When unlimited money becomes a health liability

    For more information and support, join us at https://thecirsgroup.com Jacie and Barbara discuss why unlimited money and access to extreme treatments doesn’t usually lead to better or faster healing. Wealth can remove “financial friction,” which inadvertently encourages fear-based, urgent, and uncoordinated decision-making, including fringe or unregulated therapies, constant protocol switching, and symptom-focused biohacking without tracking or testing. They emphasize the importance of strategy, sequencing, and objective measurement, highlighting the Shoemaker Protocol as a foundational, ordered approach for CIRS treatment. They'll also cover how you can evaluate treatments and doctors, and why discernment and thoughtful pacing often matter more than money. For more information and support, join us at https://thecirsgroup.com Timestamps 00:00 Intro, let's talk about money 03:33 Does more money mean worse health decisions? 04:22 Acknowledging the difficulty of healing without income 06:04 Sick and Wealthy Psychology Trap 08:51 Real world example of wealthy patient acting recklessly 12:40 Track results, not hype 14:31 There's not one miracle cure for chronic illness 16:00 Timing matters 17:51 Middle class advantages 19:35 How to determine the best treatment and doctor for you 22:40 What makes a great doctor 25:09 Discernment can be greater than money 25:52 Wrap up and encouragement For more information and support, join us at https://thecirsgroup.com Watch our first reaction video to Chris Williamson's health updates: https://youtu.be/5uTs5B6ySHQ?si=qLdsrLLbzmWkiOWK Order Jacie's book! The 30 Day Carnivore Bootcamp: https://a.co/d/7MgHrRs The CIRS Group: Support Community: https://thecirsgroup.com Instagram: https://www.instagram.com/thecirsgroup/ Find Jacie for carnivore, lifestyle and limbic resources: Jacie’s book on the Carnivore diet!  https://a.co/d/8ZKCqz0 Instagram: https://www.instagram.com/ladycarnivory YouTube: https://www.youtube.com/@LadyCarnivory Blog: https://www.ladycarnivory.com/ Find Barbara for business/finance tips and coaching: Website: https://www.actlikebarbara.com/ Instagram: https://www.instagram.com/actlikebarbara/ YouTube: https://www.youtube.com/@actlikebarbara Jacie is a Shoemaker certified Proficiency Partner, NASM certified nutrition coach, author, and carnivore recipe developer determined to share the life changing information of carnivore and CIRS to anyone who will listen. Barbara is a business and fitness coach, CIRS and ADHD advocate, writer, speaker, and a big fan of health and freedom. Together, they co-founded The CIRS Group, an online support community to help people that are struggling with their CIRS diagnosis and treatment.

    27 min
  2. MAR 4

    Is your house making you sick? Test your home to heal!

    For more information and support, join us at https://thecirsgroup.com In this week's episode, Barbara and Jacie explain why people with Chronic Inflammatory Response Syndrome (CIRS) or mold illness should test their home (and workplaces) and when. They'll dig into why multiple tests are better to understand the full picture rather than relying on a single score, and recommend working with an IEP (Indoor Environmental Professional) for interpretation and creating an action plan. They cover MSQPCR dust testing (ERMI/HERTSMI-2), best sampling practices, testing per room/floor, separate testing for basements/crawl spaces/attics, and using an outdoor control sample as well. They discuss why the mold species matter, where to get tests (LisBiotech), and some other methods your IEP may use to test your home: spore traps/air sampling, tape lifts, swabs, bulk sampling, and cultures. For more information and support, join us at https://thecirsgroup.com Timestamps 00:00 Intro and disclaimer 01:43 Why should you test your home? 02:20 When should you test your home? 04:09 Side note about testing for mold, actinos and endotoxins 05:19 MSQPCR Dust Testing: ERMI, HERTSMI-2 08:26 How to interpret your ERMI or HERTSMI-2 results 11:06 Where to get MSQPCR dust tests 13:15 When should you hire an Indoor Environmental Professional (IEP) 14:36 Other methods of testing: Air Sampling 16:52 Tape Lift testing 18:34 Swab testing 19:09 Bulk Sampling 21:31 Culturable testing 23:21 Next Steps: vetting professional help 25:48 Retest during and after remediation For more information and support, join us at https://thecirsgroup.com HELPFUL LINKS: Order your dust testing: https://lisbiotech.com/ Our interview with Bill Weber: https://youtu.be/RlKjTqVAeNU?si=9VZ4RnafI6Gx2QRp Our interview with Michael Schrantz: https://youtu.be/_BEwFVdpRcY?si=kmMrR9lPBgffrFND The CIRSx course for Medically Important Remediation: https://institute.cirsx.com/course/mir101 Order Jacie's book! The 30 Day Carnivore Bootcamp: https://a.co/d/7MgHrRs The CIRS Group: Support Community: https://thecirsgroup.com Instagram: https://www.instagram.com/thecirsgroup/ Find Jacie for carnivore, lifestyle and limbic resources: Jacie’s book on the Carnivore diet!  https://a.co/d/8ZKCqz0 Instagram: https://www.instagram.com/ladycarnivory YouTube: https://www.youtube.com/@LadyCarnivory Blog: https://www.ladycarnivory.com/ Find Barbara for business/finance tips and coaching: Website: https://www.actlikebarbara.com/ Instagram: https://www.instagram.com/actlikebarbara/ YouTube: https://www.youtube.com/@actlikebarbara Jacie is a Shoemaker certified Proficiency Partner, NASM certified nutrition coach, author, and carnivore recipe developer determined to share the life changing information of carnivore and CIRS to anyone who will listen. Barbara is a business and fitness coach, CIRS and ADHD advocate, writer, speaker, and a big fan of health and freedom. Together, they co-founded The CIRS Group, an online support community to help people that are struggling with their CIRS diagnosis and treatment.

    27 min
  3. FEB 25

    Weight Gain, Weight Loss & CIRS: why calories in, calories out doesn't work...and how to fix it!

    For more information and support, join us at https://thecirsgroup.com Jacie and Barbara discuss how CIRS commonly affects body weight: often causing weight gain and resistance to fat loss, though some people experience extreme weight loss. They'll dig into why weight changes are driven by chronic, multi-system inflammation from biotoxin exposure (such as mold or Lyme), impacting hormones, metabolism, detox pathways, the brain, and the nervous system. It’s not simply “calories in, calories out,” and listeners are encouraged to stop blaming themselves. Key contributors to weight gain include elevated cortisol, hormone disruption (leptin resistance, insulin resistance, altered thyroid signaling even with normal labs, and sex hormone imbalance), nervous system stuck in survival mode, why calorie restriction can reinforce danger signals, and how toxin storage in fat tissue can slow fat loss during detox. They emphasize supportive strategies aligned with the Shoemaker protocol: reduce exposure, calm inflammation, use binders and support detox (including daily bowel movements, sleep, gentle movement, sweating, and lymphatic support), prioritize blood sugar stability, eat adequate protein, sleep, and nervous system regulation. They caution that trying harder through calorie restriction, excessive cardio, and weight cycling can worsen stress signals, and raise concerns about GLP-1s. Focus on healing first: weight often shifts as a side effect of recovery. For more information and support, join us at https://thecirsgroup.com TIMESTAMPS 00:00 Why weight changes are so common with CIRS 01:00 Medical Disclaimer 01:13 Body image issues and bloating: Be comfy and buy clothes that fit 02:12 Inflammation, genetics, leptin, and why it’s not just about calories 05:38 How CIRS causes weight gain: Cortisol, Hormones, and Survival Mode 10:45 Detox, fat storage & the unsexy truth: You’ve gotta poop! 12:11 Sleep, NEAT/BMR, and Exercise: Finding the Right Dose While Healing 15:02 Why “Trying Harder” Backfires: Dieting, Cardio, Weight Cycling & GLP-1s 17:32 Step-by-Step: Heal First to Lose Weight (Reduce Exposure, Detox, Protein, Sleep) 21:21 Real-Life Results, Encouragement, and Where to Get Support For more information and support, join us at https://thecirsgroup.com HELPFUL LINKS Hashimoto's episode: https://youtu.be/EpmdvcBbsi4?si=Yxq0_lCaW-bXy2Dx Workout episode: https://youtu.be/69Weo6s1FAQ?si=IqJbBdo_upKtTxOJ Order Jacie's book! The 30 Day Carnivore Bootcamp: https://a.co/d/7MgHrRs The CIRS Group: Support Community: https://thecirsgroup.com Instagram: https://www.instagram.com/thecirsgroup/ Find Jacie for carnivore, lifestyle and limbic resources: Jacie’s book on the Carnivore diet!  https://a.co/d/8ZKCqz0 Instagram: https://www.instagram.com/ladycarnivory YouTube: https://www.youtube.com/@LadyCarnivory Blog: https://www.ladycarnivory.com/ Find Barbara for business/finance tips and coaching: Website: https://www.actlikebarbara.com/ Instagram: https://www.instagram.com/actlikebarbara/ YouTube: https://www.youtube.com/@actlikebarbara Jacie is a Shoemaker certified Proficiency Partner, NASM certified nutrition coach, author, and carnivore recipe developer determined to share the life changing information of carnivore and CIRS to anyone who will listen. Barbara is a business and fitness coach, CIRS and ADHD advocate, writer, speaker, and a big fan of health and freedom. Together, they co-founded The CIRS Group, an online support community to help people that are struggling with their CIRS diagnosis and treatment.

    24 min
  4. FEB 18

    Anxiety & Depression in CIRS: Your brain isn't broken, it's inflamed!

    For more information and support, join us at https://thecirsgroup.com In this week's episode, Barbara and Jacie discuss how anxiety and depression commonly show up in CIRS, and why these symptoms are often driven by biology and NOT personal weakness. Brain and body inflammation can disrupt neurotransmitters, increase inflammatory cytokines, affect mood regulation, and contribute to blood-brain barrier dysfunction and limbic system hypervigilance, leading to depression, anxiety, cognitive issues, and difficulty word-finding. They share personal experiences with OCD, suicidal ideation, and severe anxiety. They emphasize a “bottom-up” approach (reducing inflammation, treating CIRS/co-infections, addressing environment and exposures like mold) alongside “top-down” supports (therapy, limbic retraining, and community), noting therapy may be less effective without addressing root inflammation. They also highlight how mood improves with treatment, and suggest support options including The CIRS Group community and small group coaching through Untamed Iona (Dr. Lauren Sparks and Dr. Brenda Stewart). Check out our helpful links below the time stamps. For more information and support, join us at https://thecirsgroup.com TIMESTAMPS 00:00 Anxiety & Depression in CIRS: Intro + Disclaimer 01:48 What is CIRS? and why mental health symptoms aren’t your fault 02:49 Top-Down vs Bottom-Up Healing (Therapy vs Treating Inflammation) 05:07 Let's talk biology: brain inflammation, neurotransmitters & mood 06:24 Our stories: suicidal ideation, hypervigilance & tick-borne triggers 10:23 Blood-Brain barrier + limbic system: why you feel stuck in "threat mode" 12:42 The Moldy Doc: snowball effect + hope through treatment 14:38 Support Options: therapy, support groups, limbic retraining + resources 16:48 Wrap-Up: Calming the alarm + Finding the right order of healing for YOU 18:54 Join us at TheCIRSGroup.com HELPFUL LINKS: For more information and support, join us at https://thecirsgroup.com Moldy Doc: https://moldymovie.com/ Untamed Iona's support groups: https://www.untamediona.com/therapy Order Jacie's book! The 30 Day Carnivore Bootcamp: https://a.co/d/7MgHrRs The CIRS Group: Support Community: https://thecirsgroup.com Instagram: https://www.instagram.com/thecirsgroup/ Find Jacie for carnivore, lifestyle and limbic resources: Jacie’s book on the Carnivore diet!  https://a.co/d/8ZKCqz0 Instagram: https://www.instagram.com/ladycarnivory YouTube: https://www.youtube.com/@LadyCarnivory Blog: https://www.ladycarnivory.com/ Find Barbara for business/finance tips and coaching: Website: https://www.actlikebarbara.com/ Instagram: https://www.instagram.com/actlikebarbara/ YouTube: https://www.youtube.com/@actlikebarbara Jacie is a Shoemaker certified Proficiency Partner, NASM certified nutrition coach, author, and carnivore recipe developer determined to share the life changing information of carnivore and CIRS to anyone who will listen. Barbara is a business and fitness coach, CIRS and ADHD advocate, writer, speaker, and a big fan of health and freedom. Together, they co-founded The CIRS Group, an online support community to help people that are struggling with their CIRS diagnosis and treatment.

    19 min
  5. FEB 11

    The hidden illness no one talks about: How common is Chronic Inflammatory Response Syndrome (CIRS)

    In this episode of The CIRS Group podcast, Barbara and Jacie talk about the prevalence of Chronic Inflammatory Response Syndrome (CIRS). Despite being relatively unknown, CIRS is not rare; It  affects approximately 25% of the population due to genetic susceptibility. They discuss the reasons behind the lack of awareness in conventional medicine, from underdiagnosis and nonspecific symptoms, to larger systemic issues with the medical industry and lack of awareness around mold. This episode highlights who should consider CIRS, the symptoms to look out for, and the steps to diagnosis and treatment. With a mix of personal insights and factual information, this episode aims to arm listeners with the knowledge to make informed decisions about their health. For more information and support, join us at https://thecirsgroup.com Timestamps 00:00 Introduction and medical disclaimer 00:36 What is Chronic Inflammatory Response Syndrome (CIRS)? 01:36 Why don't people take mold seriously? 02:55 Why it's difficult to diagnose CIRS 05:22 Prevalence of CIRS and Genetic Susceptibility 10:11 Exposure sources and triggers for illness 11:22 Common misconceptions and normalization, rationalization 15:24 Who should consider CIRS as a potential diagnosis? 19:31 Conclusion and Resources For more information and support, join us at https://thecirsgroup.com HELPFUL LINKS What even is CIRS? episode: https://youtu.be/K-rztn5x7_w?si=kbmVdeVXx8mLLWu7 Order Jacie's book! The 30 Day Carnivore Bootcamp: https://a.co/d/7MgHrRs The CIRS Group: Support Community: https://thecirsgroup.com Instagram: https://www.instagram.com/thecirsgroup/ Find Jacie for carnivore, lifestyle and limbic resources: Jacie’s book on the Carnivore diet!  https://a.co/d/8ZKCqz0 Instagram: https://www.instagram.com/ladycarnivory YouTube: https://www.youtube.com/@LadyCarnivory Blog: https://www.ladycarnivory.com/ Find Barbara for business/finance tips and coaching: Website: https://www.actlikebarbara.com/ Instagram: https://www.instagram.com/actlikebarbara/ YouTube: https://www.youtube.com/@actlikebarbara Jacie is a Shoemaker certified Proficiency Partner, NASM certified nutrition coach, author, and carnivore recipe developer determined to share the life changing information of carnivore and CIRS to anyone who will listen. Barbara is a business and fitness coach, CIRS and ADHD advocate, writer, speaker, and a big fan of health and freedom. Together, they co-founded The CIRS Group, an online support community to help people that are struggling with their CIRS diagnosis and treatment.

    20 min
  6. FEB 4

    Navigating Perimenopause, Menopause & Chronic Inflammatory Response Syndrome with Dr. Noble

    In this informative episode of The CIRS Group podcast, hosts Jacie and Barbara welcome Dr. Anjali Noble to discuss the complexities of perimenopause, menopause, and Chronic Inflammatory Response Syndrome (CIRS). Dr. Noble, founder of the Noble Center for Health and Healing, shares insights on perimenopause and menopause, potential treatments and ways to support the transition, and how CIRS may complicate this natural process. Viewers are advised to consult their own healthcare providers for personalized medical advice.  Dr. Noble emphasizes the importance of addressing stress, improving gut health, and testing/tracking before employing hormone replacement strategies. Tune in for a deep dive into menopause, its symptoms, and what to look for in a doctor and treatment in order to manage it effectively and safely. To work with Dr. Noble, visit her website at https://drnoble.com For more CIRS information and support, visit us at https://thecirsgroup.com TIMESTAMPS 00:00 Intro and disclaimer 01:56 What is menopause? 04:32 Hormonal changes and symptoms of perimenopause 07:00 What happens with menopause, or when you hit estrogen depletion? 07:50 What are menopause symptoms and how long do they last?  10:50 Definition of perimenopause 11:55  CIRS vs menopause 17:02 Treatment recommendations for dealing with menopause 18:40 Dangers of pellets as a menopause treatment 21:45 Deal with stress first, adrenal support, then look at hormones 25:30 Lifestyle changes: gut health, methylation, detox 30:00 GLP-1s 31:29 How to work with Dr. Noble 34:30 Outro For more information and support, join us at https://thecirsgroup.com HELPFUL LINKS: Dr. Anjali Noble's informational website: https://dranjalinoble.com/ Work with Dr. Anjali Noble: https://drnoble.com Order Jacie's book! The 30 Day Carnivore Bootcamp: https://a.co/d/7MgHrRs The CIRS Group: Support Community: https://thecirsgroup.com Instagram: https://www.instagram.com/thecirsgroup/ Find Jacie for carnivore, lifestyle and limbic resources: Jacie’s book on the Carnivore diet!  https://a.co/d/8ZKCqz0 Instagram: https://www.instagram.com/ladycarnivory YouTube: https://www.youtube.com/@LadyCarnivory Blog: https://www.ladycarnivory.com/ Find Barbara for business/finance tips and coaching: Website: https://www.actlikebarbara.com/ Instagram: https://www.instagram.com/actlikebarbara/ YouTube: https://www.youtube.com/@actlikebarbara Jacie is a Shoemaker certified Proficiency Partner, NASM certified nutrition coach, author, and carnivore recipe developer determined to share the life changing information of carnivore and CIRS to anyone who will listen. Barbara is a business and fitness coach, CIRS and ADHD advocate, writer, speaker, and a big fan of health and freedom. Together, they co-founded The CIRS Group, an online support community to help people that are struggling with their CIRS diagnosis and treatment.

    36 min
  7. JAN 28

    Can you really get sick from mold? Let's talk about CIRS: Chronic Inflammatory Response Syndrome

    In this episode of The CIRS Group podcast, hosts Jacie and Barbara explain what Chronic Inflammatory Response Syndrome (CIRS) is, how to get diagnosed, and how to treat it. They cover sources of biotoxin exposure that can make you sick and what kind of binders work best for these toxins. Jacie and Barbara also discuss the importance of genetic predisposition, the diagnostic criteria, and testing you can do, including visual contrast sensitivity tests and relevant blood markers. They'll also cover the Shoemaker Protocol for treatment, and acknowledge that many of us need to treat co-infections and other long term damage for complete recovery. This episode aims to empower listeners with the knowledge to seek appropriate treatment and navigate this chronic illness effectively. TIMESTAMPS 00:00 Introduction and Disclaimer 01:09 What is CIRS? 01:32 Common sources of biotoxins that can make you sick 06:01 How CIRS causes inflammation and multiple symptoms 08:10 Why most doctors miss CIRS 09:47 Common ways CIRS is misdiagnosed 11:00 The CIRS Symptom Clusters, and how to get diagnosed with CIRS 16:25 Treating CIRS 20:07 Side Quests (co-infections, damage repair) in CIRS recovery 22:00 We hope you find healing! For more information and support, join us at https://thecirsgroup.com HELPFUL LINKS: Our episode on the Symptom Clusters: https://youtu.be/RyKff3TWBZo VCS Test: https://www.survivingmold.com/store/online-vcs-screening Our episode on which bloodmarkers to test: https://youtu.be/XMtbxLLZzaU Genetic test for CIRS: https://www.lifeextension.com/lab-testing/itemlc100087/hla-dr-mold-genetic-test Our CIRS vs Mold Illness episode: https://youtu.be/ZlYoAcV7uUo Shoemaker Protocol research: https://www.survivingmold.com/Downloads/Dooley-McMahon_Final_Publication_-_3-30-2020.pdf https://www.survivingmold.com/Publications/CIRS_diagnostic_protocol_final_5_1_2018.pdf Our episode on the right CIRS Binders: https://youtu.be/KAQfLXuPjFI Order Jacie's book! The 30 Day Carnivore Bootcamp: https://a.co/d/7MgHrRs The CIRS Group: Support Community: https://thecirsgroup.com Instagram: https://www.instagram.com/thecirsgroup/ Find Jacie for carnivore, lifestyle and limbic resources: Jacie’s book on the Carnivore diet!  https://a.co/d/8ZKCqz0 Instagram: https://www.instagram.com/ladycarnivory YouTube: https://www.youtube.com/@LadyCarnivory Blog: https://www.ladycarnivory.com/ Find Barbara for business/finance tips and coaching: Website: https://www.actlikebarbara.com/ Instagram: https://www.instagram.com/actlikebarbara/ YouTube: https://www.youtube.com/@actlikebarbara Jacie is a Shoemaker certified Proficiency Partner, NASM certified nutrition coach, author, and carnivore recipe developer determined to share the life changing information of carnivore and CIRS to anyone who will listen. Barbara is a business and fitness coach, CIRS and ADHD advocate, writer, speaker, and a big fan of health and freedom. Together, they co-founded The CIRS Group, an online support community to help people that are struggling with their CIRS diagnosis and treatment.

    23 min
  8. JAN 21

    Do you have Hashimoto's? Are you at risk? Take care of your thyroid health while treating CIRS

    In this episode of The CIRS Group podcast, hosts Jacie and Barbara explore the connection between Hashimoto's disease and chronic inflammatory response syndrome (CIRS). They dive into the importance of early diagnosis, crucial blood tests, and the differences between conventional and functional treatments. The episode also includes personal anecdotes and practical tips for managing thyroid health, touching on topics like diet, stress management, and the significance of tracking symptoms. TIMESTAMPS 00:00 Introduction and disclaimer 00:26 Continuing our autoimmune series 00:51 Understanding Hashimoto's Disease 02:40 Symptoms and diagnosis of Hashimoto's 07:50 Hashimoto's causes and triggers 12:29 Treatment Options 13:27 Symptom management with lifestyle changes 18:31 Tracking and monitoring your health 21:43 Community Support For more information and support, join us at https://thecirsgroup.com Order Jacie's book! The 30 Day Carnivore Bootcamp: https://a.co/d/7MgHrRs The CIRS Group: Support Community: https://thecirsgroup.com Instagram: https://www.instagram.com/thecirsgroup/ Find Jacie for carnivore, lifestyle and limbic resources: Jacie’s book on the Carnivore diet!  https://a.co/d/8ZKCqz0 Instagram: https://www.instagram.com/ladycarnivory YouTube: https://www.youtube.com/@LadyCarnivory Blog: https://www.ladycarnivory.com/ Find Barbara for business/finance tips and coaching: Website: https://www.actlikebarbara.com/ Instagram: https://www.instagram.com/actlikebarbara/ YouTube: https://www.youtube.com/@actlikebarbara Jacie is a Shoemaker certified Proficiency Partner, NASM certified nutrition coach, author, and carnivore recipe developer determined to share the life changing information of carnivore and CIRS to anyone who will listen. Barbara is a business and fitness coach, CIRS and ADHD advocate, writer, speaker, and a big fan of health and freedom. Together, they co-founded The CIRS Group, an online support community to help people that are struggling with their CIRS diagnosis and treatment.

    23 min
5
out of 5
21 Ratings

About

CIRS, or Chronic Inflammatory Response Syndrome, can happen to 25% of the population and is usually triggered by a biotoxin in the environment, like mold, red tide, lyme (tick bite), and even some medical interventions. Those with CIRS are susceptible to these toxins and cannot clear them on their own. Thankfully, treatment is possible, but given that people suffering with CIRS have difficulty processing new information, we created The CIRS Group and now, this podcast, to help people better understand and identify this treatable illness. Jacie is a 3 year carnivore, certified nutrition coach, and carnivore recipe developer determined to share the life changing information of carnivore and CIRS to anyone who will listen. Barbara is a wealth and wellness coach, 2 year carnivore and a big fan of health and freedom. Along with Jacie, she co-founded The CIRS Group, an online support community to help people that are struggling with their CIRS diagnosis.

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