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In IESS and LennoxGastaut syndrome (LGS), ACTH and steroids have demonstrated therapeutic efficacy through immune suppression [356, 357]

In case of one risk factor, a simple screening test should be prescribed

doi: 10.1111/bph.15834 184 BaiYDuYYuanXYuanNPuJZhangQ

However, sputums inherent complexity (mucus, cells, bacteria, mediators) challenges assay standardization, necessitating meticulous sample processing to preserve enzyme activity and minimize interference (Dosanjh, 2008)