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With respect to the affected toes, there was no distinction if one or more than one joint in the same toe were affected, so the max scored is 1

doi: 10.3390/molecules25225321 455 Rangel-CastaedaIAHernndez-HernndezJMPrez-RangelAGonzlez-PozosSCarranza-RosalesPCharles-NioCLet al

Chopra N, Yang T, Asghari P, Moore ED, Huke S, Akin B, et al

Modulating both tumor cell death and innate immunity is essential for improving radiation therapy effectiveness

Astaxanthin (ASTAREAL TM): Anti-Inflammatory Properties: Astaxanthin exhibits significant anti-inflammatory properties, helping to mitigate inflammation in various tissues, including the liver
