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References: Yoon CH, Owusu-Guha J, Smith A, Buschur P
This occurs most commonly in idiopathic inflammatory myopathy, where ILD precedes myopathy symptoms and signs in 7.2% to 37.5% of patients (Hallowell and Paik, 2021)
This is in sharp contrast to GSH, which can only stay in the blood, truly achieving an efficacy upgrade from blood to cells
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