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This could result from the presence of the mixed Hcy-Cys disulfide in urine, in analogy to the situation in CBSD, but may also result from an inhibition of cystine reabsorption by the very large amount of cystathionine in urine, on the background of the poor specificity of cystine transporters [52]
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While these can reduce inflammation, they often bring difficult side effects: Weight gain, bloating, and bone loss Increased infection risk Fatigue and mood changes High long-term costs Because these drugs suppress the immune system instead of balancing it, flare-ups frequently return once treatment stops
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