The problem arises when there are too many free radicals and not enough antioxidants, leading to oxidative stress
Scientists still arent sure why this happens and havent yet developed a cure, but we know that inflammation is a huge factor and that oxidative stress is often the culprit
The key features to look for include a temperature indicator or built-in thermometer, insulation rated for your travel duration, separation between gel packs and medication (direct contact can cause localized freezing), and enough capacity for your full supply plus syringes and alcohol swabs
PMID 7706256
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(He got a transplant in Turkey a few years back.) My head became less tender each day, and on the fourth day post-op, I was finally able to wash my donor area with the hypoallergenic shampoo I was given, gently patting the foam it created onto my transplanted area