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I would really, really like to understand the "chicken or the egg" scenario I am getting out of the paragraph on the right side column on page 323 of the newest Leckman, Murphy and Kurlan paper....starts back with "A new model of Pandas pathogenesis"---but mainly the paragraph starting with "There is now evidence that dopamine can directly influence key immunological mechanisms....."

 

I thought the immune. mechanisms influenced dopamine, thus the symptoms. which came first....?

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