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Since MTX, one of the DMARDs used in clinical practice, showed no obvious influences on the differentiation of osteoclasts (Supplementary Fig

Maintains energy Glutathione supports steady energy by shielding mitochondria from oxidative damage, helping maintain ATP, the bodys main currency for fuel

Differential Diagnosis Considered etiologies included: Primary psychiatric disorder Neuroinflammatory or neurodegenerative disease Endocrine dysfunction Chronic infection (Lyme disease, EBV) Chronic inflammatory response syndrome (CIRS) Environmental toxin exposure (including mycotoxins) The acute onset, lack of psychiatric history, and environmental correlation made a primary psychiatric etiology less likely

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