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Recent findings Glucocorticoids (GCs) are recommended as initial treatment, when needed
doi: 10.1089/aid.2016.0303
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doi: 10.3390/nu14051114 63
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"Poor metabolizers," however, appear to totally lack the stereospecific (S)-mephenytoin hydroxylase activity, so both (S)- and (R)-mephenytoin enantiomers are N-demethylated to nirvanol, which accumulates in much higher concentrations
