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Doctors aren't sure what causes the virus to reactivate in people who have periodic outbreaks, but they think the following may increase your risk of having one: Being out in the sun for a long time or when the sun is very bright or intense Having a fever or an illness Emotional stress Having your period if you're assigned female at birth (AFAB) Physical stress, such as an injury or having surgery You're more likely to have a recurrent infection the first year after you're infected

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10.1093/toxsci/kfq039

Metab Brain Dis 36:13911401

Implication of intestinal microbiota in the etiopathogenesis of fibromyalgia: a systematic review