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Research suggests that genetics and environmental factors might be the main cause

This requires dedicated cleanroom infrastructure, environmental monitoring, personnel training, and sterility testing protocols that are not required for non-sterile compounding

Maliha Mannan Ahmed , MBBS (BMC), MBA (ULAB), Masters in Healthcare Leadership (Brown University, USA) and Level 1 Certification on Precision Nutrition

53,54 In addition, the products of ECM decomposition, such as collagen and elastin, are themselves chemokines of inflammatory cells and cause persistent respiratory system inflammation in COPD patients, even leading to systemic autoimmune diseases