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Valproate-phenobarbital interaction: [1] Valproate may reduce phenobarbital metabolism

It decreases inflammation and can replace the need for steroids

And they think that was a large part of the precursor to me getting an autoimmune thyroid disease

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Fibrosis The endothelial-to-mesenchymal transition (EndMT) is a process in which endothelial cells lose their adhesion and polarity, and obtain mesenchymal phenotype, leading to enhanced cell migration and collagen secretion (Maddaluno et al., 2013)