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Glutathione (GSH) depletion in ME/CFS GSH plays a critical role in protecting cells from oxidative damage by neutralizing free radicals

The HSCs also secretes several molecules which are instrumental in recruiting immune cells at the site of activation such as M-CSF that causes macrophage proliferation and maintenance, PAF, MIP-2 and CINC/IL-8 which cause neutrophil chemotaxis and MCP-1 which recruits monocytes (Maher, 2001)

Fluoxetine affects embryonic morphogenesis by inhibiting the activity of the Wnt signaling pathway and reducing cell proliferation, and activation of the Wnt signaling pathway partially mitigates the adverse effects of fluoxetine on embryonic morphology through a mechanism of action that is not directly related to the inhibition of serotonin reuptake in the synapse

Dont take it to manage any condition unless your doctor recommends it

Extensive post-marketing surveillance