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Funding MRC-Versus Arthritis Centre for Musculoskeletal Ageing Research (MR/K00414X/1) and NuVasive Ltd

Wash bedding weekly at 60C minimum to kill dust mites and remove allergen accumulation Encase mattresses, box springs, and pillows in allergen-proof covers with pore sizes under 10 microns Vacuum mattresses monthly, focusing on seams, tufts, and edges where dust mites concentrate Remove carpeting or use washable area rugs that can be cleaned weekly to reduce allergen reservoirs Run HEPA air purifiers continuously in bedrooms to filter airborne allergens during sleep hours Pro Tip Place allergen-proof encasements on pillows and mattresses before adding regular bedding to create an effective barrier against dust mites

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1 preventable cause of death and disease and disability in the city of Cleveland," said Dr