• Influenza B Virus (Flu B)
  • Influenza A H1N1pdm09 (Flu A-H1N1pdm09)
  • Influenza A H3N2 (Flu A-H3N2)
  • Respiratory Syncytial Virus A (RSV A)
  • Respiratory Syncytial Virus B (RSV B)
  • Parainfluenza virus 1 (PIV1)
  • Parainfluenza virus 2 (PIV2)
  • Parainfluenza virus 3 (PIV3)
  • Adenovirus (AdV)
  • Coronavirus OC43 (COV-OC43)
  • Coronavirus NL63 (COV-NL63)
  • Coronavirus 229E (COV-229E)
  • Coronavirus HKU1 (COV-HKU1)
  • Parainfluenza virus 4 (PIV4)
  • Human Rhinovirus (hRV)
  • Human Enterovirus (hEV)
  • Human Bocavirus (hBoV)
  • Human Metapneumovirus (hMPV)
  • Streptococcus pneumoniae (SP)
  • Mycoplasma pneumoniae (MP)
  • Chlamydophila pneumoniae (CP)
  • Legionella pneumophila (LP)
  • Haemophilus influenzae (HI)
  • Bordetella pertussis (BP)
  • Bordetella parapertussis (BPP)
  • Moraxella catarrhalis (MC)
  • INFLUENZA A VIRUS (FLU A)
  • Covid-19 RT-PCR

Master Respiratory Pathogens - 28 Dubai – Comprehensive Respiratory Disease Panel at Home

Vesta Care's Master Respiratory Pathogens - 28 delivers the most extensive respiratory disease screening available in Dubai, detecting 28 viral and bacterial pathogens through a single nasal swab collection. This advanced molecular diagnostic panel identifies the complete spectrum of organisms causing upper and lower respiratory tract infections—from common cold viruses to severe pneumonia-causing bacteria—providing physicians with precise pathogen identification essential for targeted treatment decisions.

At AED 599, this comprehensive test eliminates diagnostic guesswork during Dubai's respiratory illness season when overlapping symptoms make clinical differentiation impossible. Our DHA-licensed healthcare professionals collect your nasal swab sample at home with flexible scheduling, and results arrive within 48 hours identifying which specific pathogen or combination of pathogens caused your respiratory symptoms.

Why Comprehensive Respiratory Testing Matters

Respiratory viruses primarily spread through droplets and aerosols when infected individuals breathe, speak, cough, or sneeze, with symptoms often overlapping significantly. Fever, cough, sore throat, fatigue, and congestion appear across dozens of different respiratory infections, making accurate diagnosis through symptoms alone virtually impossible.

This 28-pathogen panel solves the critical diagnostic challenge: identifying which specific organism—or combination of organisms—caused your illness. Coinfections with multiple respiratory viruses are common, particularly in children, with combinations like influenza and adenovirus frequently occurring together. Understanding the exact causative pathogen enables appropriate antiviral prescription, antibiotic use when bacterial infection exists, and accurate prognosis assessment.

Complete Pathogen Coverage

Viral Pathogens:

COVID-19 RT-PCR: Detects SARS-CoV-2, the coronavirus causing COVID-19 pandemic disease. Essential for distinguishing COVID-19 from other respiratory infections with identical symptom presentations, enabling appropriate isolation protocols and treatment consideration.

Influenza A Virus (Flu A): Broad detection of Influenza A strains beyond specific subtypes. This highly contagious seasonal virus causes severe respiratory illness, particularly dangerous for vulnerable populations including elderly, young children, and immunocompromised individuals.

Influenza A H1N1pdm09: The 2009 pandemic strain now circulating seasonally. This subtype historically caused severe illness and continues requiring specific monitoring and early antiviral treatment when detected, particularly in high-risk patients.

Influenza A H3N2: Common seasonal flu strain causing significant illness annually. H3N2 often produces more severe symptoms than other flu strains and shows higher hospitalization rates, especially among elderly populations.

Influenza B Virus (Flu B): Causes seasonal influenza exclusively in humans. While generally milder than Influenza A, this virus still produces significant respiratory illness and can cause severe complications in vulnerable individuals requiring hospitalization.

Respiratory Syncytial Virus A (RSV A) and B (RSV B): RSV infects nearly all babies and children worldwide at least once before they reach two years old, causing up to 200,000 deaths annually globally. These viruses produce bronchiolitis and pneumonia in infants and elderly, representing a major healthcare burden with reinfection throughout life being common.

Parainfluenza Virus 1, 2, 3, and 4 (PIV1-4): Common causes of croup, bronchitis, and pneumonia especially in children. These viruses circulate year-round with seasonal peaks, causing upper and lower respiratory tract infections ranging from mild cold symptoms to severe respiratory disease requiring hospitalization.

Adenovirus (AdV): More than 50 types of adenoviruses can infect humans, causing respiratory symptoms similar to common cold or flu, along with conjunctivitis, gastroenteritis, and other conditions. Adenoviruses are notably resistant to disinfectants, spread easily through multiple routes, and can cause severe illness in immunocompromised individuals.

Coronavirus OC43, NL63, 229E, and HKU1: Four endemic human coronaviruses causing common cold symptoms. These seasonal coronaviruses circulate continuously, typically producing mild upper respiratory infections though they can occasionally cause lower respiratory tract disease in vulnerable populations.

Human Rhinovirus (hRV): The most common cause of the common cold, with over 100 subtypes existing. Rhinoviruses can cause lower respiratory tract infections in very low birth weight infants, elderly persons, those with cystic fibrosis, and immunosuppressed patients, occasionally producing severe complications beyond typical cold symptoms.

Human Enterovirus (hEV): Causes respiratory infections along with various other manifestations including hand-foot-mouth disease and viral meningitis. These viruses peak in summer and autumn, producing respiratory symptoms often indistinguishable from other viral infections without testing.

Human Bocavirus (hBoV): Relatively recently identified respiratory virus associated with respiratory illness in children. Often detected alongside other respiratory viruses in coinfections, its exact clinical significance continues being studied though correlation with respiratory symptoms is established.

Human Metapneumovirus (hMPV): Causes respiratory infections similar to common cold but can lead to bronchitis, bronchiolitis and pneumonia. Discovered more recently than other respiratory viruses, hMPV represents a major cause of serious illness particularly in young children and elderly populations.

Bacterial Pathogens:

Streptococcus pneumoniae (SP): The most common bacterial cause of community-acquired pneumonia. This bacterium causes severe lung infections, meningitis, and bloodstream infections, representing a major cause of serious bacterial respiratory disease requiring immediate antibiotic treatment.

Mycoplasma pneumoniae (MP): Causes "atypical" or "walking" pneumonia with gradual symptom onset. This bacterium produces prolonged respiratory illness with persistent cough, requiring specific antibiotic classes (macrolides or tetracyclines) different from typical pneumonia treatment.

Chlamydophila pneumoniae (CP): Another atypical pneumonia cause producing mild to moderate respiratory illness. This intracellular bacterium causes community-acquired pneumonia, bronchitis, and sinusitis, requiring specific antibiotic treatment distinct from typical bacterial pneumonia therapy.

Legionella pneumophila (LP): Causes severe Legionnaires' disease pneumonia with high fever and potentially fatal complications. This waterborne bacterium requires specific antibiotic treatment and represents a medical emergency when detected, particularly in immunocompromised individuals.

Haemophilus influenzae (HI): Despite its name, this bacterium causes bacterial pneumonia, meningitis, and other infections unrelated to influenza virus. Common in children and adults with chronic lung disease, detection guides appropriate antibiotic selection.

Bordetella pertussis (BP): Causes whooping cough (pertussis) characterized by severe, prolonged coughing fits. This highly contagious bacterium requires specific antibiotic treatment and isolation protocols, particularly dangerous for infants who face severe complications and mortality risk.

Bordetella parapertussis (BPP): Causes pertussis-like illness milder than classic whooping cough. This related bacterium produces similar but less severe symptoms, still requiring appropriate antibiotic treatment and public health notification.

Moraxella catarrhalis (MC): Common cause of respiratory tract infections including bronchitis, sinusitis, and middle ear infections. This bacterium frequently colonizes the respiratory tract and causes exacerbations in patients with chronic obstructive pulmonary disease.

Who Needs This Comprehensive Test

This 28-pathogen panel serves individuals experiencing respiratory symptoms requiring definitive diagnosis: persistent fever with cough, severe respiratory distress, prolonged illness not responding to initial treatment, or symptoms in high-risk individuals including infants, elderly, pregnant women, and immunocompromised patients. Healthcare workers, teachers, and others in high-exposure occupations benefit from accurate pathogen identification for appropriate isolation and return-to-work decisions.

The test also serves diagnostic clarity when initial rapid tests remain negative despite ongoing symptoms, when coinfection is suspected based on severe or unusual symptom patterns, or when public health reporting requires specific pathogen confirmation. Parents seeking definitive diagnosis for sick children particularly benefit from comprehensive screening.

The Home Testing Process

Vesta Care delivers professional respiratory pathogen testing throughout Dubai with same-day collection availability and anytime scheduling flexibility. Our DHA-licensed healthcare professionals arrive at your specified location equipped with proper nasal swab collection supplies.

The collection procedure takes seconds—a sterile swab inserted into your nostril and rotated to collect respiratory secretions. Your sealed sample reaches our certified laboratory using advanced molecular diagnostic platforms detecting all 28 pathogens simultaneously from the single specimen. Results arrive within 48 hours via email and SMS, clearly identifying which pathogen or pathogens caused your infection.

Treatment Guidance and Clinical Value

Test results enable precise treatment decisions. Viral detection confirms whether antiviral medications (for influenza, RSV, or COVID-19) might help, while bacterial identification guides specific antibiotic selection. Negative results for bacterial pathogens prevent unnecessary antibiotic use, reducing antibiotic resistance development.

Results also inform prognosis—certain pathogens like Legionella require aggressive treatment and monitoring, while others predict self-limited illness. Coinfection detection explains unusually severe symptoms and guides enhanced supportive care. For vulnerable patients, pathogen-specific risk assessment enables appropriate hospitalization decisions.

Book Your Comprehensive Respiratory Test

Schedule your Master Respiratory Pathogens - 28 test through our online platform. Select your preferred collection time, provide basic information, and our healthcare professional arrives with necessary supplies. Results reach you within 48 hours—comprehensive, accurate, and actionable.

At AED 599, Vesta Care provides Dubai's most complete respiratory pathogen screening, identifying the exact cause of your respiratory illness when accurate diagnosis matters most. Book now for same-day collection.

Testimonials

What Our patients are saying

Frequently asked questions

How does Lab at Home service work?

All medical providers in Dubai are subject to the same rules and regulations of DHA and are obliged to perform laboratory investigations in a licensed by DHA medical laboratory. Vesta Care is bringing this service to your home. We maintain the required clinical standards, ensuring accuracy and credibility, while we support you in getting the help you need at your convenience avoiding the hassles and risks of a hospital visit. With us you pay for your tests only, not for our building costs.

Which types of lab tests can be conducted at home?

We have the widest list of biomarkers that can be performed by any medical laboratory in Dubai. Most importantly however with Vesta Care you get access to our licensed by DHA specialist and the unique and fully customizable health and wellness packages.

Is the Lab at Home service available for all locations in Dubai?

Vesta Care is licensed by Dubai Health Authority and authorized to operate near you and anywhere in Dubai, from Dubai Investment Park (DIP), Dubai Marina, Al Barsha up to the outskirts of Deira and the borders with Sharjah and Fujairah. You can reach us anytime around the clock and we will be with your anywhere in Dubai and near you, within less than an hour from your call.

What are the benefits of choosing Lab at Home a visit to a clinic or hospital?

Your sample and laboratory investigation will follow the same route, regardless of the collection point, as all samples are processed by a separate DHA licensed Laboratory. The benefits of using the Vesta Care’s lab at home service near you are that we are a one-stop-solution (as we have the widest list of biomarkers available),  you avoid the loss of time and slot availability in a medical facility, you face no queue nor you are exposed to any hazards visiting a clinic or hospital. All of these at your location, near you, always available and a cost that is a fraction of what a hospital would charge you – while not providing you with the services we do.

Can I request a specific type of lab test not listed on the website?

We are providing access to over 1,900 biomarkers locally available in the UAE through our exclusive medical laboratories. If we don’t have it, no one does. Challenge us, we are available any day and time to receive your query and provide you with clinical solutions you never though were possible before.

How can I schedule an appointment for Lab at Home services?

There are many ways for you to reach us, we have made that simple! You can call us, text us, whatsapp us or email us and very shortly a member of our patient engagement team will handle your query with priority and provide a solution that fits your needs. You are our best embassador of our quality and convenience, and we treat you as such.

How credible and accurate are your lab results?

We are a licensed medical provider by Dubai Health Authority and thus we are obliged to work with licensed medical laboratories.
We are proud of our partnership with Dubai’s oldest and most credible, for over 20 years, medical laboratory, Intel Lab. Our exclusive partner warrants the credibility and accuracy of our results while we warrant the compliance on sample collection and transportation. We together ensure that your results are credible while also being delivered without intermediaries that can hurt quality.
What makes Vesta Care different is that we do not stop in just processing and reporting your results, every sample, before it is released, is clinically correlated by our most senior Clinical Pathologist in Dubai to ensure not only accuracy but clinical correlation too.

How soon can I expect to receive my test results?

Vesta Care has fully optimized its processes end to end for the lab at home services, utilizing the most modern technologies available. We ensure that your sample is received in the medical laboratory minutes after is being collected, while on a priority basis your samples are processed. The majority of the biomarkers are run and reported within the same day while the vast majority of our tests are reported within 24hours the latest. We normally do not exceed 3-5 calendar dates even for the most complex, rare or technically demanding parameters. Remember, Vesta Care warrants the quality of its services and we are always ready to accept the consequences of any delay (regardless of its origin) and compensate you.

What safety measures are in place during lab at home visits?

Fortunately for all, we have Dubai Health Authority’s rules and regulators governing this for us. Our team is licensed within the scope of our work and we are proudly subject to extensive, diligent and very frequent audits from the regulator on all our activities. We welcome that and embrace it. During your appointment you should expect our medical experts to wear PPEs while all medical instruments used to be well calibrated and inspected according to DHA’s protocols. Your biggest protection however, is our commitment before the visit since we operate under the code of conduct of our medical profession and we do not commercialize healthcare for financial benefit. Contact us and you will understand the difference.

What payment options are available for Lab at Home services?

We have available all the generally accepted forms of payments for your transactions; excluding e-coins. We accept transfers, debit / credit cards or Tabby payments – we also accept cash payments. Please ensure that you have received a valid electronic invoice within 24hours from your interaction with us or contact us.

The Program includes

Master Respiratory Pathogens - 28 Dubai – Comprehensive Respiratory Disease Panel at Home

Vesta Care's Master Respiratory Pathogens - 28 delivers the most extensive respiratory disease screening available in Dubai, detecting 28 viral and bacterial pathogens through a single nasal swab collection. This advanced molecular diagnostic panel identifies the complete spectrum of organisms causing upper and lower respiratory tract infections—from common cold viruses to severe pneumonia-causing bacteria—providing physicians with precise pathogen identification essential for targeted treatment decisions.

At AED 599, this comprehensive test eliminates diagnostic guesswork during Dubai's respiratory illness season when overlapping symptoms make clinical differentiation impossible. Our DHA-licensed healthcare professionals collect your nasal swab sample at home with flexible scheduling, and results arrive within 48 hours identifying which specific pathogen or combination of pathogens caused your respiratory symptoms.

Why Comprehensive Respiratory Testing Matters

Respiratory viruses primarily spread through droplets and aerosols when infected individuals breathe, speak, cough, or sneeze, with symptoms often overlapping significantly. Fever, cough, sore throat, fatigue, and congestion appear across dozens of different respiratory infections, making accurate diagnosis through symptoms alone virtually impossible.

This 28-pathogen panel solves the critical diagnostic challenge: identifying which specific organism—or combination of organisms—caused your illness. Coinfections with multiple respiratory viruses are common, particularly in children, with combinations like influenza and adenovirus frequently occurring together. Understanding the exact causative pathogen enables appropriate antiviral prescription, antibiotic use when bacterial infection exists, and accurate prognosis assessment.

Complete Pathogen Coverage

Viral Pathogens:

COVID-19 RT-PCR: Detects SARS-CoV-2, the coronavirus causing COVID-19 pandemic disease. Essential for distinguishing COVID-19 from other respiratory infections with identical symptom presentations, enabling appropriate isolation protocols and treatment consideration.

Influenza A Virus (Flu A): Broad detection of Influenza A strains beyond specific subtypes. This highly contagious seasonal virus causes severe respiratory illness, particularly dangerous for vulnerable populations including elderly, young children, and immunocompromised individuals.

Influenza A H1N1pdm09: The 2009 pandemic strain now circulating seasonally. This subtype historically caused severe illness and continues requiring specific monitoring and early antiviral treatment when detected, particularly in high-risk patients.

Influenza A H3N2: Common seasonal flu strain causing significant illness annually. H3N2 often produces more severe symptoms than other flu strains and shows higher hospitalization rates, especially among elderly populations.

Influenza B Virus (Flu B): Causes seasonal influenza exclusively in humans. While generally milder than Influenza A, this virus still produces significant respiratory illness and can cause severe complications in vulnerable individuals requiring hospitalization.

Respiratory Syncytial Virus A (RSV A) and B (RSV B): RSV infects nearly all babies and children worldwide at least once before they reach two years old, causing up to 200,000 deaths annually globally. These viruses produce bronchiolitis and pneumonia in infants and elderly, representing a major healthcare burden with reinfection throughout life being common.

Parainfluenza Virus 1, 2, 3, and 4 (PIV1-4): Common causes of croup, bronchitis, and pneumonia especially in children. These viruses circulate year-round with seasonal peaks, causing upper and lower respiratory tract infections ranging from mild cold symptoms to severe respiratory disease requiring hospitalization.

Adenovirus (AdV): More than 50 types of adenoviruses can infect humans, causing respiratory symptoms similar to common cold or flu, along with conjunctivitis, gastroenteritis, and other conditions. Adenoviruses are notably resistant to disinfectants, spread easily through multiple routes, and can cause severe illness in immunocompromised individuals.

Coronavirus OC43, NL63, 229E, and HKU1: Four endemic human coronaviruses causing common cold symptoms. These seasonal coronaviruses circulate continuously, typically producing mild upper respiratory infections though they can occasionally cause lower respiratory tract disease in vulnerable populations.

Human Rhinovirus (hRV): The most common cause of the common cold, with over 100 subtypes existing. Rhinoviruses can cause lower respiratory tract infections in very low birth weight infants, elderly persons, those with cystic fibrosis, and immunosuppressed patients, occasionally producing severe complications beyond typical cold symptoms.

Human Enterovirus (hEV): Causes respiratory infections along with various other manifestations including hand-foot-mouth disease and viral meningitis. These viruses peak in summer and autumn, producing respiratory symptoms often indistinguishable from other viral infections without testing.

Human Bocavirus (hBoV): Relatively recently identified respiratory virus associated with respiratory illness in children. Often detected alongside other respiratory viruses in coinfections, its exact clinical significance continues being studied though correlation with respiratory symptoms is established.

Human Metapneumovirus (hMPV): Causes respiratory infections similar to common cold but can lead to bronchitis, bronchiolitis and pneumonia. Discovered more recently than other respiratory viruses, hMPV represents a major cause of serious illness particularly in young children and elderly populations.

Bacterial Pathogens:

Streptococcus pneumoniae (SP): The most common bacterial cause of community-acquired pneumonia. This bacterium causes severe lung infections, meningitis, and bloodstream infections, representing a major cause of serious bacterial respiratory disease requiring immediate antibiotic treatment.

Mycoplasma pneumoniae (MP): Causes "atypical" or "walking" pneumonia with gradual symptom onset. This bacterium produces prolonged respiratory illness with persistent cough, requiring specific antibiotic classes (macrolides or tetracyclines) different from typical pneumonia treatment.

Chlamydophila pneumoniae (CP): Another atypical pneumonia cause producing mild to moderate respiratory illness. This intracellular bacterium causes community-acquired pneumonia, bronchitis, and sinusitis, requiring specific antibiotic treatment distinct from typical bacterial pneumonia therapy.

Legionella pneumophila (LP): Causes severe Legionnaires' disease pneumonia with high fever and potentially fatal complications. This waterborne bacterium requires specific antibiotic treatment and represents a medical emergency when detected, particularly in immunocompromised individuals.

Haemophilus influenzae (HI): Despite its name, this bacterium causes bacterial pneumonia, meningitis, and other infections unrelated to influenza virus. Common in children and adults with chronic lung disease, detection guides appropriate antibiotic selection.

Bordetella pertussis (BP): Causes whooping cough (pertussis) characterized by severe, prolonged coughing fits. This highly contagious bacterium requires specific antibiotic treatment and isolation protocols, particularly dangerous for infants who face severe complications and mortality risk.

Bordetella parapertussis (BPP): Causes pertussis-like illness milder than classic whooping cough. This related bacterium produces similar but less severe symptoms, still requiring appropriate antibiotic treatment and public health notification.

Moraxella catarrhalis (MC): Common cause of respiratory tract infections including bronchitis, sinusitis, and middle ear infections. This bacterium frequently colonizes the respiratory tract and causes exacerbations in patients with chronic obstructive pulmonary disease.

Who Needs This Comprehensive Test

This 28-pathogen panel serves individuals experiencing respiratory symptoms requiring definitive diagnosis: persistent fever with cough, severe respiratory distress, prolonged illness not responding to initial treatment, or symptoms in high-risk individuals including infants, elderly, pregnant women, and immunocompromised patients. Healthcare workers, teachers, and others in high-exposure occupations benefit from accurate pathogen identification for appropriate isolation and return-to-work decisions.

The test also serves diagnostic clarity when initial rapid tests remain negative despite ongoing symptoms, when coinfection is suspected based on severe or unusual symptom patterns, or when public health reporting requires specific pathogen confirmation. Parents seeking definitive diagnosis for sick children particularly benefit from comprehensive screening.

The Home Testing Process

Vesta Care delivers professional respiratory pathogen testing throughout Dubai with same-day collection availability and anytime scheduling flexibility. Our DHA-licensed healthcare professionals arrive at your specified location equipped with proper nasal swab collection supplies.

The collection procedure takes seconds—a sterile swab inserted into your nostril and rotated to collect respiratory secretions. Your sealed sample reaches our certified laboratory using advanced molecular diagnostic platforms detecting all 28 pathogens simultaneously from the single specimen. Results arrive within 48 hours via email and SMS, clearly identifying which pathogen or pathogens caused your infection.

Treatment Guidance and Clinical Value

Test results enable precise treatment decisions. Viral detection confirms whether antiviral medications (for influenza, RSV, or COVID-19) might help, while bacterial identification guides specific antibiotic selection. Negative results for bacterial pathogens prevent unnecessary antibiotic use, reducing antibiotic resistance development.

Results also inform prognosis—certain pathogens like Legionella require aggressive treatment and monitoring, while others predict self-limited illness. Coinfection detection explains unusually severe symptoms and guides enhanced supportive care. For vulnerable patients, pathogen-specific risk assessment enables appropriate hospitalization decisions.

Book Your Comprehensive Respiratory Test

Schedule your Master Respiratory Pathogens - 28 test through our online platform. Select your preferred collection time, provide basic information, and our healthcare professional arrives with necessary supplies. Results reach you within 48 hours—comprehensive, accurate, and actionable.

At AED 599, Vesta Care provides Dubai's most complete respiratory pathogen screening, identifying the exact cause of your respiratory illness when accurate diagnosis matters most. Book now for same-day collection.

Testimonials

What Our patients are saying

Frequently asked questions

How often should I get IV therapy?

It depends on the targeted treatment and desired outcomes. IV therapy can be given as a one-off treatment to provide you with a nutrient boost. For all the therapies the results will be evident from the first therapy. Some therapies involve a weekly infusion for 3-6 weeks at most but still the results are evident from the first and each subsequent one.

How long does the IV therapy lasts?

Most of the therapies on our dosages take between 25 – 45 mins, with the longer ones reaching up to 1hour. The duration of the therapy depends mostly on the competency of the injected kit.

Is IV therapy more effective than oral supplements?

Yes, micronutrients and vitamins are absorbed at a rate of 10-20% when oral taken as opposed to the efficiency of the IV therapy where the absorption is between 90-100%.

Is the process Painful?

The procedure is performed by a licensed and trained phlebotomist / nurse, under supervision of the treating physician and does not differ to standard injections. Our team is well trained to provide a smooth process. Normally, you should not feel pain during the injection or post the injection.

Will I notice the difference?

Absolutely yes. We are not inventing the wheel, we are simply delivering it to your house ensuring the consumables we use are potent and accredited, from reputable and licensed manufacturers, and approved for use by the Health Authorities while its delivery is performed by licensed professional clinicians. All our IV therapies will deliver a noticeable difference from first therapy and when multiple therapies are needed all will reinforce the prior experience until reaching the desired outcomes.

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