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Symptoms usually take several weeks or months to develop and flare up with strenuous activity

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However, there are a few things you should take care of, among them: dont attend the timeshare presentation in the resorts (they usually invite you for breakfast) dont buy excursions in Punta Cana from beach vendors (except if you really know what you do) always ask for the price first before buying something on the street or before entering a taxi dont buy cigars or souvenirs with beach vendors (again, except if you really know it is good quality mostly it isnt) avoid the beach guys with the monkey, parrot and/or lizard they will charge you extortionate fees for the photos You might ask why

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