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When I see this in my practice, it presents as COVID destabilizing the immune system, causing a second hit that unmasks deeper layers of chronic infections

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Carrillo-Beltrn D, Osorio JC, Blanco R, Oliva C, Boccardo E, Aguayo F

For instance, manifestation of radiation toxicity at the cellular level involves simultaneous activation of various pro-survival and cytotoxic pathways in a ROS-dependent (indirect effect of radiation) and independent (direct effect of radiation) manner [37, 40, 100]