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Patients should be encouraged to allow the sublingual film to dissolve completely before eating, drinking, or smoking and should not swallow the film

Inhibition of the EMT by sulforaphane in thyroid cancer cells has been associated with upregulation of an epithelial marker, E-cadherin, and downregulation of a transcription factor (SNAI2), a filament protein (vimentin), and various enzymes (matrix metalloprotein [MMP]-2 and MMP-9) known to contribute to EMT and promote migration (32)

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This creates an elevated TIMP:MMP ratio that correlates with collagen and elastin synthesis stimulation