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Sterile water lacks the preservative (benzyl alcohol) that prevents bacterial growth

(Risk Factors) Individuals previously diagnosed with esophageal motility disorders, such as achalasia, diffuse esophageal spasm, or nutcracker esophagus, are at a catastrophic risk for this complication, as their neural pathways already fail to coordinate the smooth, downward propulsion of solid masses

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Otherwise, I would say its probably not Lyme