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Mycotoxins, however, may influence: Immune signaling balance Mitochondrial energy production Oxidative stress pathways Neurological regulation Gut barrier integrity In many cases of chronic mold-related illness, systemic symptoms are driven less by spore exposure alone and more by the cumulative biological effects of retained mycotoxins

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Further, both elderly and pediatric patients may have diminished muscle mass and, as such, are more likely to receive a higher dose of drug for their weight