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DSIP is not FDA-approved and is currently on the FDA Category 2 do-not-compound list

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The question remains whether early intervention improves outcomes in such patients or leads to adverse effects due to unnecessary treatment

After the formation of an epoxyallylic radical, the enzyme hydroperoxide lyase, which should be more accurately termed a hemiacetal synthase, converts the epoxy intermediate into a vinyl ether and thence to a short-lived hemiacetal, which spontaneously decomposes into two short chain fragments, i.e., cis -3-hexenal and 12oxo- cis -9-dodecenoic acid, though the positions and geometry of the double bonds may change by chemical or enzymatic isomerization