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Pain after 5 minutes is atypical for cortisone flare

Meister S, Hahn L, Beyer S, Mannewitz M, Perleberg C, Schnell K, et al

Direct immunomodulation is achieved through bioactive components such as TGF- (Transforming Growth Factor-beta), which enhance the differentiation and function of regulatory T cells (Tregs), thereby enhancing peripheral immune tolerance [14, 15]