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Outpatient OTs at MGH have experienced some success in the treatment of FD using guidance from current literature

Lemon and Honey Miracle Mask Lemon juice contains natural citric acid, which acts as a gentle chemical exfoliant to help remove dead skin cells and lighten dark spots

5-HT 5-hydroxytryptamine 5-MT 5-Methoxytryptamine 6-OHM 6-Hydroxymelatonin 8-OHdG 8-hydroxydeoxyguanosine AANAT Aralkylamine N- acetyltransferase A Amyloid peptide Acetyl CoA Acetyl coenzyme A AD Alzheimers disease AFMK N1-Acetyl-N2-formyl-5-methoxykynuramine AMD Age-related macular degeneration AMK N1-Acetyl-5-methoxykynuramine Apo-E Apolipoprotein-E ARE Antioxidant response element ASMT Acetyl serotonin O-methyltransferase DAMP Damage-associated molecular pattern DRP1 Dynamin-related protein 1 EMT Epithelial to mesenchymal transition GPx Glutathione peroxidase GRd Glutathione reductase H 2 O 2 Hydrogen peroxide HIF-1 Hypoxia inducible factor-1 alpha iBRB Inner blood retinal barrier ICAM-1 Intercellular adhesion molecule 1 IFN- Interferon IB Inhibitor B IL Interleukin IRDS Intrinsically disordered regions of proteins Keap1 Kelch-like ECH-associated protein 1 MMP Matrix metalloproteinase NF-kB Nuclear factor kB NLRP3 NOD-like receptor pyrin domain containing protein NO Nitric oxide Nrf2 Nuclear factor erythroid 2-related factor 2 NRL NOD-like receptor O 2 - Superoxide anion radical oBRB Outer blood retinal barrier OH Hydroxyl radical ONOO Peroxynitrite anion OXPHOS Oxidative phosphorylation PRR Pattern recognition receptor PS Phase separation PTM Post-translational modification PUFA Polyunsaturated fatty acid ROS Reactive oxygen species RPE Retinal pigment epithelium SERCA 2 Sarco/endoplasmic reticulum calcium 2 ATPase SIRT1 Sirtuin 1 SOD Superoxide dismutase TCA Tricarboxylic acid cycle TGF- Transforming growth factor TLR Toll-like receptor VEGF Vascular endothelial growth factor Glossary References 1

4 patients experienced (during the second year of treatment) an effect ON/OFF of the treatment when they forgot or wanted to stop the treatment