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It should be avoided if strictures are suspected

Aim for 4.55.5

Gille D, Schmid A

(60) have reviewed the HOTYR ability to modulate the transcription factor NF-B whose activation triggers the expression of over 150 genes, including those encoding cytokines, such as tumor necrosis factor alpha (TNF-), interleukin (IL)-1, IL-6, and IL-17, chemokines and adhesion molecules, implicated in both physiological and pathophysiological inflammatory responses

I was given ice packs, So, I just continuously iced my arms