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Kongkeaw, C., Dilokthornsakul, P., Thanarangsarit, P., Limpeanchob, N., & Norman Scholfield, C

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Ice crystals that form during freezing physically shear peptide bonds, similar to the damage caused by vigorous shaking

This article is a starting point for education, not a guide to self-treatment

For most patients the recommended strategy is to withdraw the corticosteroid, thereby decreasing its adverse effects, while remission is maintained with azathioprine