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Chronic exposure has been associated with: Liver stress Immune suppression Increased inflammatory burden (14) Trichothecenes Often associated with Stachybotrys chartarum , trichothecenes can: Inhibit protein synthesis Disrupt mucosal immunity Intensify inflammatory signaling (15) Gliotoxin Produced by certain Aspergillus species, gliotoxin has immunosuppressive effects and may impair macrophage function and immune clearance (16)

Sutinen et al., 2022) using purified components

Repeated reduction attempts should not be performed to limit risks of soft tissue or bony injury from the reduction attempts themselves

Discontinue use and rinse with a mild cleanser and cool water, and consult a doctor if swelling or difficulty breathing develops