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A 2015 paper shows that the influenza A virus directly activates mast cells, causing the release of cytokines and contributing to the excessive inflammatory response in the lungs.[ref] Animal studies show that this pattern of mast cell activation and excessive response holds true for several flu strains

The efficacy endpoint for all of these trials was the incidence of laboratory-confirmed clinical influenza defined as meeting all the following criteria (all signs and symptoms must have been recorded within 24 hours): oral temperature greater than or equal to 99.0F (37.2C), at least one respiratory symptom (cough, sore throat, nasal congestion), at least one constitutional symptom (aches and pain, fatigue, headache, chills/sweats), and either a positive virus isolation or a four-fold increase in virus antibody titers from baseline

doi: 10.5114/ctd/203685 16 BettgeKKahleMAbd El AzizMSMeierJJNauckMA

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Some state regulators have joined Novo and Lilly in raising safety concerns regarding some compounded versions

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