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In its hyphal state, Candida produces specialised invasins and proteinases including candidalysin, a peptide toxin that physically puncture intestinal epithelial cells, widen tight junctions between cells, and allow the yeast itself and its toxic metabolites to translocate into the bloodstream and lymphatic system

Baseline documentation should occur before initiating any treatment, including standardized photographs under consistent lighting, hair density measurements if possible, and subjective assessments of current hair quality and scalp health

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