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You may want to ask for a genetic test alongside the other tests your doctor will schedule

Increased SPM contamination has been shown to result in a concomitant increase in IL-6 levels in airway epithelial cells, macrophages and bronchoalveolar lavage fluid, as well as in the systemic circulation [9, 15, 16]

Cooke JR, Ancoli-Israel S

It is called ustekinumab (Stelara), and it helps with joint pain and severe plaque psoriasis
