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Logistics and fulfilment are discussed during consultation when clinically appropriate and in accordance with Thai regulations

In this pathway, most NSAIDS work reversibly by preventing the arachidonic acid from meeting with the active site of the COX enzyme so that prostaglandin biosynthesis reduces inflammation (Flood et al

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This includes upregulation of antioxidant enzymes (superoxide dismutase, catalase) that protect against oxidative damage, enhancement of growth factor expression (TGF-, VEGF, PDGF) that supports tissue repair, and suppression of inflammatory gene expression that contributes to chronic skin degradation