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Bacterial Triggers Several bacteria have been shown to trigger EBV reactivation through various mechanisms: Periodontal pathogens like Aggregatibacter actinomycetemcomitans can produce toxins that cause DNA damage, ultimately activating EBV through cellular stress pathways Prevotella intermedia can trigger specific signaling pathways that lead to EBV activation Porphyromonas gingivalis secretes butyric acid that inhibits histone deacetylase, leading to epigenetic alterations that expose the EBV promoter region Helicobacter pylori , the bacterium responsible for most stomach ulcers, can create cellular conditions conducive to EBV reactivation This connection between oral health and EBV reactivation is particularly intriguing—it suggests that poor dental hygiene and gum disease may contribute to chronic EBV-related symptoms in some individuals

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No formal contraindications derived from human data exist because human safety trials have not been conducted