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6b) While this would impair killing of VSMC and VEC, which could help prevent ASCVD progression, it would similarly prevent CD8 + T cells from suppressing inflammatory CD4 + T cells, APCs that promote immune activation, and plasma cells that produce inflammatory IgG 2,4
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The progressive ramp through the cycle is intentional: it allows the body to respond to the compound gradually, lets the provider assess tolerance and response before increasing the dose, and avoids the unnecessary load of starting at maximum dosing when the tissue is still in early repair phases
Steroids can have harmful side effects when used improperly
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