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For the remaining patients, a question is whether to do a fine needle aspiration cytological exam, or offer resection without this examination
The Bacterial Contamination Theory proposes that such dysbiosis introduces lipopolysaccharides (LPS) into the uterine environment, which activate pattern recognition receptors through binding to the TLR4/MD2 complex, triggering MyD88-dependent signaling that phosphorylates IB and liberates NF-B for nuclear translocation, ultimately inducing chronic inflammatory cascades and further exacerbating endometriotic pathology

doi:10.1017/S1092852900016102

Activity AR.04.01.1: Identify relevant business objectives

Commensal microbes provide first line defense against Listeria monocytogenes infection
This may involve gradual uncoupling of ascorbate and glutathione reduction states as flux through the pathway accelerates
