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Our work reveals an acute sensitivity to Corexit EC9580A and dilbit by surface-dwelling insects and may be driven by disruption of mechanisms of buoyancy. We highlight a need to evaluate physical impacts, typically excluded from standard toxicity testing, within the context of spill impact mitigation assessments. This article is protected by copyright. All rights reserved. Patients with ANCA associated vasculitis (AAV) experience high levels of fatigue, despite disease remission. This study assessed the feasibility and acceptability