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Systemic omega-3 fatty acids are polyunsaturated fatty acids (PUFAs) that have been investigated as a systemic treatment for recurrent aphthous stomatitis (RAS), particularly for patients who are unresponsive to conventional topical therapies. In a Phase 2 clinical trial conducted by researchers at October 6 University in Egypt, a daily dose of 3 grams (1 gram three times daily) was evaluated over a six-month period. The mechanism of action is attributed to the anti-inflammatory properties of omega-3, which serves as a precursor for specialized pro-resolving mediators (SPMs) such as resolvins and protectins. These compounds actively facilitate the resolution of inflammation and inhibit the production of pro-inflammatory cytokines and leukotrienes. The trial results demonstrated statistically significant reductions in the number and duration of ulcers, as well as decreased pain levels, suggesting that omega-3 supplementation can improve the quality of life for RAS patients.
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