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Perioperative implications were evaluated with emphasis on orthopaedic surgical risk domains relevant to total joint arthroplasty (TJA), including wound complications, hematoma formation, immune modulation, infection susceptibility, heterotopic ossification, and implant fixation considerations

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While congestion and sinus symptoms are common, mold toxicity often disrupts immune signaling, neurological function, gut integrity, mitochondrial energy production, and autonomic regulation

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