10.1136/annrheumdis-2015-208709 6
Many filamentous fungal pathogens contain dioxygenases with homology to human cyclooxygenases, and the prostaglandin metabolites PGF 2 and PGF 2 -lactone, derived from arachidonic acid, which does not occur in plants have been detected in yeasts of the Lipomycetaceae family, while PGE 2 is produced by Candida albicans and some others
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In many cases, clinicians instead monitor inflammatory markers, metabolic labs, symptom patterns, and overall clinical trajectory to determine whether glutathione, its precursors, or both are appropriate
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