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Bowatte G, Lodge CJ, Lowe AJ, Erbas B, Dennekamp M, Marks GB, et al

Depletion of tryptophan (a Candida metabolic substrate) reduces serotonin synthesis, while chronic gut inflammation elevates inflammatory cytokines (IL-6, TNF-) that independently suppress mood via neuroinflammatory pathways

Almulla et al

178 Guideline Statement 19 If Hunner lesions are present, then fulguration (with electrocautery) and/or injection of triamcinolone should be performed
