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A presumptive analysis of intestinal tract infection depends upon figuring out trophozoites (energetic protozoa) or cysts in stool specimens. A missed diagnosis of P. vivax concurrent with P. falciparum is more problematic since these species may cause relapses, thereby compounding morbidity. They might even develop crusting that makes them vulnerable to much more infections. This increased to 89 percent when the seeds have been combined with areca nut extract, a conventional Chinese drugs that also paralyzes tapeworms. Their antiparastic effects have been attributed to curcubitine, a substance that paralyzes tapeworms to allow them to no longer hold onto intestinal cells. Their effectiveness has been attributed to chemicals known as polyphenols, that are present in all plants. Their effectiveness has been attributed to the breakdown of parasites by papain, an enzyme in papaya seeds.

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