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Both are on the July 2026 Pharmacy Compounding Advisory Committee agenda for 503A compounding review, which is a separate regulatory question from approval

It is highly likely that the various phases of MS thus represent a continuum of the same disease, where autoimmune inflammation is most prominent early, gradually wanes with age, thus unmasking a progressive underlay of chronic cytodegenerative processes that are present from disease inception

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This metabolic shift appears to redirect bacterial resources towards producing porphyrinsmolecules that can trigger inflammatory responses in surrounding skin tissue