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The process is similar to the process of donating blood

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Molecular oxygen is converted into singlet form 1 O 2 via photo-oxygenation as well as enzymatic reactions, mediated by peroxidases like lipoxygenase (LOX), dioxygenase and lactoperoxidase

Symptoms may include: fever or chills

then its essential that you stop using the product and (depending on the severity of the situation) either contact your doctor or get emergency medical assistance