(4) Contraindications include conditions such as mechanical obstruction, asthma, coronary artery disease, hyperthyroidism, and epilepsy, where cholinergic stimulation may be harmful
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Furthermore, protease-activated receptor 2 (PAR2) signaling in melanocytes amplifies oxidative and inflammatory responses through the Akt/NF-B axis, elevating cytokine production and reducing antioxidant defenses, based on CAT and SOD activity, exacerbating skin inflammation 126
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