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How might genetic testing inform my choice between these approaches

If you cannot confirm when it was opened, treat it as expired

Patients with pure CARD9 deficiency often present with Familial chronic cutaneous and mucosal candidiasis (CMC), accompanied by stubborn infections in the skin, nails, and mouth, and some may have deep fungal diseases, making conventional treatment difficult to cure (Puel et al., 2012)

Larowe SD, Mardikian P, Malcolm R, et al