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Of note, TNF- is a key mediator of systemic inflammation, but it is important to note that exercise-induced modulation of TNF- reflects general immunoregulatory effects and should not be equated with pharmacological TNF- blockade, which has been associated with worsening of MS

Streptococcus Use an antifungal mouthwash Drink cold drinks with a straw Rinse your mouth with a fluoride mouthwash Take pain medications for discomfort Do not take things that cause irritation such as alcohol mouthwashes, alcoholic drinks and cigarette smoke