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Diagnostic Assessment Inflammatory and Regulatory Markers C4a: 5600 (elevated) TGF-1: 7210 (markedly elevated) MMP-9: normal VEGF: normal MSH: normal ADH/osmolality: normal Mycotoxin Testing Elevated ochratoxin A Elevated gliotoxin Presence of aflatoxins, trichothecenes, zearalenone Lyme disease: negative Epstein Barr Virus: negative Clinical Interpretation Findings indicated: Significant toxin burden Partial inflammatory activation The absence of widespread biomarker abnormalities suggested a non-CIRS mycotoxin illness with immune involvement

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STORAGE: Store at room temperature between 59-86 degrees F (15-30 degrees C) away from light and moisture

Journal of Cosmetic Dermatology , 21(8), 3308-3314

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The control group was treated with prednisone and mycophenolate mofetil, while the treatment group received additional TGP capsules based on the control groups regimen and the treatment lasted for 6 months