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Flavonoids ameliorate ototoxic drug-induced hearing impairment by acting as ROS scavengers or inhibitors of JNK, MAPK, and other apoptotic signaling pathways, and by inhibiting aldose reductase activity, xanthine oxidase (Liao et al., 2024), common natural flavonoid mechanisms of action are described below

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Here's an honest, side-by-side breakdown of both medications so you can have an informed conversation with your provider before you start

In those cases, imaging may become relevant when pain is persistent, mechanical, worsening, or limiting progress