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However, its efficacy is often hampered by inherent or acquired radiation resistance in tumors

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Bachmann M, Waibler Z, Pleli T, Pfeilschifter J, Muhl H

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One study demonstrated that the reduced expression of pro-inflammatory proteins and the increase in anti-inflammatory proteins, such as CD180, in endothelial cells was caused by the increased melatonin production at night [102]

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Because of this, higher doses, typically 5001,000 mg per day, are often required to see measurable benefits (NIH)

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