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Thats not a rare occurrence either

doi:10.1111/imr.13278 Gonzalez AL, Dungan MM, Smart CD, Madhur MS, Doran AC

Role of toll-like receptor 2 in regulation of T-helper immune response in chronic obstructive pulmonary disease

Im going to have 1 or 2 a week after that to maintain

This is because all retinoids have to be converted to Tretinoin, AKA Retinoic Acid
