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Symptoms are caused by the microfilariae and the immune response to infection, rather than the adults themselves

S -alk(en)ylated at the cysteine residue, followed by the removal of a glycyl group to form a biosynthetic intermediate, -glutamyl- S -alk(en)yl-L-cysteine

This is particularly important for medicines with a narrow therapeutic window, such as warfarin (requiring INR monitoring) or certain antibiotics

doi: 10.1007/s12192-019-01013-y 108 BaccalaRWelchMJGonzalez-QuintialRWalshKBTeijaroJRNguyenAet al

The ingredients list boasts components like citric acid and plant-derived substances, which are notorious for their supportive roles in metabolism enhancement and appetite regulation