What Does “Neutrophils 75” Mean?

When your blood test report shows “Neutrophils 75,” it means that 75% of your white blood cells are neutrophils. Neutrophils are a type of white blood cell that your body uses to fight infections, especially those caused by bacteria. Normally, the percentage of neutrophils in your white blood cells is between 40% to 60%. So, when the percentage goes up to 75%, it is higher than normal. This condition is called neutrophilia, which means there are too many neutrophils in the blood. It can happen due to many reasons, such as infections, inflammation, stress, or even as a reaction to medications.

A neutrophil count of “75” usually refers to 75% neutrophils on your white blood cell differential, indicating neutrophilia—an elevated proportion of neutrophils in the bloodstream. Neutrophils are frontline immune cells that engulf and destroy bacteria and debris. When their percentage climbs above the normal range (40–70%), it often signals infection, inflammation, stress, or an underlying medical condition Medical News Today. In plain English, “neutrophils 75” means your body is producing more of these cells than usual, likely because it’s fighting something or reacting to stress.

Neutrophils are the most common type of white blood cells in the human body. They are made in the bone marrow and circulate in the bloodstream. Their main job is to protect the body from bacteria, viruses, and fungi. When you have an infection or inflammation, neutrophils are usually the first cells to arrive at the site. They act like soldiers by attacking and destroying harmful germs. They also help remove dead cells and help in tissue repair. When neutrophils finish their job, they die and form a yellowish liquid called pus.

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Types of Neutrophils

Neutrophils go through several stages before they become fully mature. These stages are sometimes seen in blood tests, especially when the body is under stress or fighting infection.

1. Myeloblasts – These are immature white cells in the bone marrow that are the first step in neutrophil development.

2. Promyelocytes – These cells are a bit more developed and begin forming granules, which help kill bacteria.

3. Myelocytes – At this stage, the cell starts looking more like a neutrophil.

4. Metamyelocytes – These cells are nearly mature but not fully functional.

5. Band neutrophils – These are almost mature neutrophils. An increase in band neutrophils often indicates an active infection.

6. Segmented neutrophils – These are mature neutrophils that circulate in the blood and fight infections.

When your body is fighting something serious, immature forms may be released into the blood. This is known as a “left shift” in the white blood cell count.

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Diseases or Causes of High Neutrophils

1. Bacterial Infections – Most common cause. The body releases extra neutrophils to fight bacteria like strep, staph, or E. coli.

2. Viral Infections – Some viruses, such as influenza or COVID-19, can increase neutrophil counts, especially early in infection.

3. Fungal Infections – Neutrophils rise to combat invasive fungal infections like candidiasis.

4. Inflammation – Conditions like rheumatoid arthritis or lupus cause chronic inflammation that can raise neutrophils.

5. Stress – Physical or emotional stress can temporarily increase neutrophils.

6. Trauma or Injury – Burns, wounds, or surgery can increase neutrophil production.

7. Heart Attack (Myocardial Infarction) – After a heart attack, inflammation increases, and so do neutrophils.

8. Smoking – Long-term smoking can chronically increase neutrophil levels.

9. Cancer – Some cancers, especially leukemia and lymphoma, cause high neutrophils.

10. Bone Marrow Disorders – Disorders like myeloproliferative neoplasms result in high neutrophil production.

11. Steroid Medications – Drugs like prednisone can increase neutrophil count.

12. Allergic Reactions – Severe allergic responses, especially anaphylaxis, may raise neutrophils.

13. Obesity – Chronic low-level inflammation in obesity often elevates neutrophils.

14. Pregnancy – It’s normal to have slightly higher neutrophils during pregnancy.

15. Autoimmune Diseases – Diseases where the body attacks itself, like vasculitis, can lead to high neutrophils.

16. Thyroid Problems – Hyperthyroidism can sometimes increase neutrophil levels.

17. Heat Stroke – Severe heat exposure can cause inflammation and raise neutrophils.

18. Liver Disease – Infections or inflammation in the liver may raise neutrophils.

19. Tissue Death (Necrosis) – When tissue dies, neutrophils increase to clean up the area.

20. Appendicitis – A sudden infection or inflammation of the appendix can cause a spike in neutrophils.

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Symptoms of High Neutrophils

1. Fever – Often the first sign of infection or inflammation.

2. Fatigue – The body may feel tired from the immune system working overtime.

3. Pain or Swelling – Especially in joints or muscles when inflammation is present.

4. Skin Redness or Warmth – May indicate local infection or inflammation.

5. Pus Formation – Presence of pus in wounds or boils suggests neutrophils are active.

6. Cough or Breathing Issues – If related to lung infection like pneumonia.

7. Sweating at Night – Common with infections or blood cancers.

8. Weight Loss – Unexplained weight loss might be related to serious illness.

9. Nausea or Vomiting – Seen in infections like appendicitis.

10. Loss of Appetite – Common in systemic infections.

11. Rapid Heartbeat – The body’s response to infection or fever.

12. Shortness of Breath – Seen in serious infections or lung issues.

13. Headache – Especially when linked with viral infections.

14. Sore Throat – May indicate an infection like strep throat.

15. Generalized Weakness – The immune system’s burden can cause weakness or muscle aches.

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Diagnostic Tests for High Neutrophils

A. Physical Examinations

1. Vital Signs Check – Includes temperature, heart rate, blood pressure, and breathing rate. A high fever or rapid pulse can suggest infection.

2. Abdominal Exam – Pressing on the stomach can help find inflammation or tenderness in organs like the appendix.

3. Lung and Chest Exam – Listening to breathing sounds can help detect pneumonia or chest infections.

4. Skin Inspection – Looking for redness, swelling, or pus that may indicate skin infections.

5. Lymph Node Check – Swollen lymph nodes may suggest infection or immune response.

B. Manual Tests

6. Joint Mobility Check – Doctors may move joints to check for pain or stiffness from inflammation.

7. Neurological Reflex Test – Basic reflex checks can rule out brain infections or nervous system inflammation.

8. Palpation of Tender Areas – Pressing on painful or inflamed parts of the body to detect deeper infections or abscesses.

C. Laboratory and Pathological Tests

9. Complete Blood Count (CBC) – Measures all types of blood cells. A high neutrophil percentage confirms neutrophilia.

10. Neutrophil Absolute Count – Looks at the exact number of neutrophils, not just percentage.

11. C-Reactive Protein (CRP) – A marker of inflammation. High CRP means your body is reacting to an infection or injury.

12. Erythrocyte Sedimentation Rate (ESR) – Another test for inflammation in the body.

13. Blood Culture – Detects bacteria in the blood. Used when sepsis is suspected.

14. Urine Analysis – Checks for urinary tract infection or kidney problems.

15. Liver Function Test (LFT) – Can detect liver inflammation or infection.

16. Autoimmune Panels (ANA, RF) – Helps identify diseases like lupus or rheumatoid arthritis.

D. Electrodiagnostic Tests

17. Electrocardiogram (ECG/EKG) – To check heart health, especially if infection affects the heart.

18. Electroencephalogram (EEG) – Can be used if there’s confusion or seizures suggesting brain inflammation.

19. Nerve Conduction Study – Rarely needed, but can help detect inflammation in the nerves if there are strange symptoms.

E. Imaging Tests

20. Chest X-ray or CT Scan – Helps detect pneumonia, lung infections, or tumors that may cause high neutrophils.

21. Abdominal Ultrasound – Useful for detecting appendicitis, gallbladder infections, or other organ inflammation.

22. MRI of Brain or Spine – If infection is suspected in the brain or spinal cord.

23. PET Scan – May help find hidden infections or inflammation, especially in cancer patients.

Non‑Pharmacological Treatments to Lower Neutrophils

Below are lifestyle and therapeutic strategies that can help calm inflammation and reduce excessive neutrophil production. Each approach is explained in simple terms, covering what it is, why it helps, and how it works.

1. Smoking Cessation

   • Description: Quitting smoking entirely.

   • Purpose: Eliminates a chronic inflammatory trigger.

   • Mechanism: Tobacco smoke irritates airways, driving neutrophil production; stopping removes that stimulus and lowers neutrophil levels over weeks to months NCBI.

2. Weight Management

   • Description: Achieving and maintaining a healthy body weight through diet and exercise.

   • Purpose: Reduces chronic inflammation linked to obesity.

   • Mechanism: Fat tissue secretes inflammatory signals (cytokines) that boost neutrophil counts; losing excess weight decreases these signals NCBI.

3. Balanced Anti‑Inflammatory Diet

   • Description: Emphasize fruits, vegetables, whole grains, and lean proteins; limit processed foods and sugars.

   • Purpose: Provides nutrients that ease inflammation.

   • Mechanism: Rich in antioxidants and fiber, this diet lowers inflammatory markers and neutrophil activation Apollo Hospitals.

4. Regular Moderate Exercise

   • Description: 30 minutes of brisk walking or cycling most days.

   • Purpose: Improves immune balance and lowers stress hormones.

   • Mechanism: Moderate exercise reduces pro‑inflammatory cytokines (e.g., IL‑6), indirectly reducing neutrophil overproduction BMJ Best Practice.

5. Stress Management (Meditation, Yoga)

   • Description: Daily mindfulness, deep‑breathing, or gentle yoga for at least 10–15 minutes.

   • Purpose: Lowers stress triggers that drive neutrophil release.

   • Mechanism: Reduces cortisol spikes and sympathetic activation, decreasing neutrophil mobilization NCBI.

6. Adequate Sleep Hygiene

   • Description: Aim for 7–9 hours of consistent, uninterrupted sleep per night.

   • Purpose: Resets the immune system and reduces inflammation.

   • Mechanism: Restorative sleep balances cytokine production and neutrophil turnover BMJ Best Practice.

7. Hydration

   • Description: Drinking at least 2 liters of water daily (or more if active).

   • Purpose: Supports blood volume and cell transport.

   • Mechanism: Proper fluid balance helps clear inflammatory byproducts and modulates neutrophil concentration.

8. Smoking Alternatives Avoidance

   • Description: Steer clear of vaping and secondhand smoke.

   • Purpose: Prevents alternative airway irritants.

   • Mechanism: Similar irritants to cigarettes can also trigger neutrophil production.

9. Air Quality Improvement

   • Description: Use HEPA filters, avoid heavy traffic areas.

   • Purpose: Reduces inhaled pollutants that provoke inflammation.

   • Mechanism: Cleaner air lessens lung irritation and neutrophil-driven airway inflammation.

10. Mind‑Body Therapies (Tai Chi, Qigong)

    • Description: Slow, flowing movements combined with breath focus, 2–3 times/week.

    • Purpose: Blends gentle exercise with stress relief.

    • Mechanism: Lowers inflammatory markers and neutrophil activation via stress reduction NCBI.

11. Acupuncture

    • Description: Licensed practitioner places fine needles at specific points, weekly or biweekly.

    • Purpose: Modulates nervous and immune system cross‑talk.

    • Mechanism: May decrease pro‑inflammatory cytokines and neutrophil chemotaxis.

12. Massage Therapy

    • Description: 60‑minute professional sessions focused on relaxation.

    • Purpose: Reduces muscle tension and stress.

    • Mechanism: Lowers cortisol and systemic inflammation.

13. Probiotics

    • Description: Daily fermented foods (yogurt, kefir) or supplements.

    • Purpose: Balances gut microbiota, which influences immunity.

    • Mechanism: Healthy gut flora can reduce systemic inflammation and neutrophil overactivity.

14. Herbal Teas (Green Tea)

    • Description: 2–3 cups/day of brewed green tea.

    • Purpose: Delivers anti‑inflammatory polyphenols.

    • Mechanism: EGCG in green tea suppresses neutrophil inflammatory signals.

15. Environmental Allergen Control

    • Description: Regular dusting, vacuuming, hypoallergenic bedding.

    • Purpose: Minimizes allergic airway inflammation.

    • Mechanism: Reduces histamine and cytokine‑driven neutrophil recruitment.

16. Cold Therapy

    • Description: Short cold showers or ice packs to inflamed areas.

    • Purpose: Constricts blood vessels and lowers localized inflammation.

    • Mechanism: Vasoconstriction reduces neutrophil migration to tissues.

17. Mindful Breathing Exercises

    • Description: Box breathing (4‑4‑4‑4) for 5–10 minutes/day.

    • Purpose: Rapid stress relief.

    • Mechanism: Activates parasympathetic tone, reducing neutrophil mobilization.

18. Limiting Alcohol

    • Description: No more than 1 drink/day for women, 2/day for men.

    • Purpose: Prevents alcohol‑induced inflammation.

    • Mechanism: Excess alcohol increases gut permeability and systemic cytokines.

19. Avoiding Ultra‑Processed Foods

    • Description: Opt for whole, minimally processed choices.

    • Purpose: Cuts hidden inflammatory additives.

    • Mechanism: Ultra‑processed foods trigger endotoxin release, driving neutrophilia.

20. Regular Medical Check‑Ups

    • Description: Annual blood work and physical exams.

    • Purpose: Early detection of issues fueling high neutrophils.

    • Mechanism: Timely intervention on causes (infection, inflammation) prevents chronic neutrophilia.

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Pharmacological Treatments (Drugs)

When non‑drug strategies aren’t enough, physicians may prescribe medications that directly or indirectly reduce neutrophil counts. Below are ten evidence‑based options.

1. Hydroxyurea (Class: Cytoreductive Agent)

   • Dosage: Start 500 mg PO once daily, titrate up to 1,500 mg/day to maintain absolute neutrophil count (ANC) between 2,000–4,000/µL.

   • Timing: Once daily, adjust every 4–8 weeks based on CBC.

   • Side Effects: Myelosuppression (anemia, thrombocytopenia), mucositis, rash, gastrointestinal upset Targeted Oncology.

2. Busulfan (Class: Alkylating Agent)

   • Dosage: 0.8 mg/kg IV every 6 hours for 4 days (total 16 doses) as part of cytoreductive therapy.

   • Timing: Every 6 hours; administer antiemetics and anticonvulsants prophylactically.

   • Side Effects: Seizures, hepatic veno‑occlusive disease, pulmonary fibrosis, mucositis Pfizer Labeling.

3. Anagrelide (Class: Platelet‑Reducing Agent)

   • Dosage: 0.5 mg PO twice daily, may increase to 1–2 mg BID.

   • Timing: Twice daily with food.

   • Side Effects: Headache, palpitations, diarrhea, fluid retention.

4. Ruxolitinib (Class: JAK1/2 Inhibitor)

   • Dosage: 10 mg PO twice daily, adjust per response.

   • Timing: BID; monitor CBC monthly.

   • Side Effects: Anemia, thrombocytopenia, bruising.

5. Interferon‑α (Class: Immunomodulator)

   • Dosage: 3 million IU subcutaneously three times/week.

   • Timing: Every other day.

   • Side Effects: Flu‑like symptoms, depression, thyroid dysfunction.

6. Prednisone (Class: Corticosteroid)

   • Dosage: 0.5–1 mg/kg/day PO, taper over weeks.

   • Timing: Morning dosing to mimic cortisol rhythm.

   • Side Effects: Weight gain, hyperglycemia, osteoporosis.

7. Methotrexate (Class: Antimetabolite)

   • Dosage: 10–25 mg PO or IM weekly.

   • Timing: Once weekly with folinic acid rescue.

   • Side Effects: Hepatotoxicity, stomatitis, pulmonary fibrosis.

8. Azathioprine (Class: Purine Analogue)

   • Dosage: 1–3 mg/kg/day PO.

   • Timing: Daily; monitor liver enzymes.

   • Side Effects: Leukopenia, pancreatitis.

9. Cyclophosphamide (Class: Alkylating Agent)

   • Dosage: 50–100 mg/day PO or 500–1,000 mg/m² IV monthly.

   • Timing: Daily oral or monthly IV pulses.

   • Side Effects: Hemorrhagic cystitis, bone marrow suppression.

10. Mycophenolate Mofetil (Class: Antimetabolite)

    • Dosage: 1 g PO twice daily.

    • Timing: BID with food.

    • Side Effects: Diarrhea, leukopenia, infections.

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Dietary Molecular Supplements

Certain supplements can support a balanced immune response and gently modulate neutrophil activity.

1. Omega‑3 Fatty Acids (EPA/DHA)

   • Dosage: 2–4 g/day of combined EPA/DHA.

   • Function: Anti‑inflammatory.

   • Mechanism: Convert into resolvins that dampen neutrophil chemotaxis and cytokine release PMCMDPI.

2. Curcumin

   • Dosage: 500–1,000 mg/day standardized extract.

   • Function: Anti‑inflammatory.

   • Mechanism: Inhibits PI3K/AKT signaling in neutrophils, reducing migration and oxidative burst PubMedScienceDirect.

3. Quercetin

   • Dosage: 500 mg twice daily.

   • Function: Flavonoid anti‑inflammatory.

   • Mechanism: Inhibits neutrophil degranulation, superoxide production, and NET formation via P38MAPK/NOX2 pathway PMCPubMed.

4. Vitamin C

   • Dosage: 500 mg–1 g/day (oral) or 450 mg IV daily for acute settings.

   • Function: Antioxidant, supports neutrophil apoptosis.

   • Mechanism: Reduces pro‑apoptotic signals in neutrophils, balancing lifespan PMCMDPI.

5. Vitamin D

   • Dosage: 2,000 IU/day (or as guided by blood levels).

   • Function: Immunomodulator.

   • Mechanism: Modulates neutrophil chemotaxis and cytokine expression via vitamin D receptor signalling.

6. Resveratrol

   • Dosage: 150–500 mg/day.

   • Function: Polyphenol anti‑inflammatory.

   • Mechanism: Inhibits NF‑κB and reduces neutrophil adhesion molecule expression.

7. N‑Acetylcysteine (NAC)

   • Dosage: 600 mg twice daily.

   • Function: Antioxidant precursor.

   • Mechanism: Replenishes glutathione, reducing neutrophil oxidative burst.

8. Green Tea Polyphenols (EGCG)

   • Dosage: 300 mg EGCG/day.

   • Function: Anti‑inflammatory.

   • Mechanism: Suppresses neutrophil activation and cytokine release.

9. Probiotics (Lactobacillus spp.)

   • Dosage: 10⁹–10¹¹ CFU/day.

   • Function: Gut‑immune balance.

   • Mechanism: Reduces gut‑derived systemic inflammation that can drive neutrophilia.

10. Magnesium

    • Dosage: 300–400 mg/day.

    • Function: Enzyme cofactor, anti‑inflammatory.

    • Mechanism: Modulates immune cell signalling and lowers pro‑inflammatory cytokines.

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Regenerative/Stem‑Cell‑Based Therapies

Advanced cellular therapies under investigation for modulating neutrophil‑driven inflammation:

1. Mesenchymal Stem Cell (MSC) Infusion

   • Dosage: 1×10⁶ cells/kg IV weekly for 4 weeks.

   • Function: Immunosuppressive, anti‑inflammatory.

   • Mechanism: Shifts neutrophils to a less inflammatory phenotype via TSG‑6 and CD24 upregulation PMC.

2. Umbilical Cord‑Derived MSCs

   • Dosage: 1×10⁶ cells/kg IV single dose.

   • Function: Rapid immunomodulation.

   • Mechanism: Releases factors (e.g., IL‑10) that curb neutrophil migration and cytokine release PMC.

3. MSC‑Derived Exosome Therapy

   • Dosage: 50 µg exosomal protein/kg IV weekly.

   • Function: Cell‑free immunomodulation.

   • Mechanism: Delivers miRNAs that induce neutrophil apoptosis via NF‑κB inhibition PMC.

4. Hematopoietic Stem Cell Transplantation

   • Dosage: Conditioning with busulfan 0.8 mg/kg IV q6h × 16 doses + cyclophosphamide 60 mg/kg IV × 2 doses.

   • Function: Resets blood cell production.

   • Mechanism: Replaces diseased marrow to normalize neutrophil output Pfizer Labeling.

5. Induced Pluripotent Stem Cell (iPSC)–Derived Regulatory Myeloid Cells

   • Dosage: 1×10⁶ cells/kg IV single infusion.

   • Function: Novel regulatory cell therapy.

   • Mechanism: Reprogrammed cells secrete anti‑inflammatory cytokines to temper neutrophil activation PMC.

6. Adoptive Regulatory T‑Cell (Treg) Therapy

   • Dosage: 2–5×10⁶ cells/kg IV single infusion.

   • Function: Restores immune balance.

   • Mechanism: Tregs produce IL‑10, reducing E‑selectin expression on endothelium and blocking neutrophil migration Frontiers.

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 Prevention Strategies

To help prevent neutrophilia, adopt these measures:

1. Smoking cessation

2. Healthy weight management

3. Anti‑inflammatory diet

4. Regular moderate exercise

5. Stress reduction

6. Adequate sleep

7. Good hydration

8. Air quality control

9. Hand hygiene and vaccination

10. Avoiding excessive alcohol NCBIApollo Hospitals.

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When to See a Doctor

Consult your physician if you experience:

• Persistent high fever or recurrent infections

• Unexplained fatigue or weight loss

• Night sweats or drenching sweats

• Enlarged lymph nodes or spleen

• Extremely high neutrophil counts (>80–90%)
  Early evaluation helps identify infections, blood disorders, or inflammatory conditions Cleveland Clinic.

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Dietary Do’s and Don’ts

Do Eat:

• Fatty fish (salmon, mackerel)

• Colorful fruits (berries, cherries)

• Leafy greens (spinach, kale)

• Whole grains (oats, brown rice)

• Nuts and seeds (walnuts, flaxseed)

• Legumes (lentils, chickpeas)

• Olive oil, avocado

• Plenty of water EatingWell.

Avoid:

• Processed meats and refined carbs

• Trans fats (fried foods, margarine)

• Added sugars (sodas, sweets)

• Excessive red meat

• Alcohol beyond moderate levels EatingWell.

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Frequently Asked Questions

1. What is a normal neutrophil percentage?
   Normal range is 40–70% of total white blood cells.

2. What causes neutrophilia?
   Infections, inflammation, stress, smoking, steroids, blood disorders.

3. Is “neutrophils 75” dangerous?
   Not by itself—it’s a signal to find the underlying cause.

4. Can diet alone fix high neutrophils?
   Diet helps manage inflammation but often needs combined approaches.

5. How long to lower neutrophils?
   Depends on cause—weeks for lifestyle changes, months for drug therapy.

6. Can exercise worsen neutrophilia?
   Intense exercise spikes neutrophils temporarily; moderate exercise lowers chronic levels.

7. Are supplements safe?
   Generally safe at recommended doses, but discuss with your doctor.

8. When are drugs needed?
   When lifestyle changes fail or counts are very high (>80%) or symptomatic.

9. Is hydroxyurea for everyone?
   No—reserved for myeloproliferative disorders and severe neutrophilia.

10. Do stem cell treatments cure it?
    They can normalize counts in select diseases but carry risks.

11. Can stress reduction really help?
    Yes—stress hormones directly influence neutrophil release.

12. What tests monitor progress?
    Complete blood count (CBC) with differential every 1–3 months.

13. Is neutrophilia hereditary?
    Some rare genetic disorders cause mild chronic neutrophilia.

14. What if neutrophils drop too low?
    Risk of infection—treatment may shift from neutrophil‑lowering to boosting.

15. Can infections cause long‑term neutrophilia?
    Chronic infections (e.g., tuberculosis) can keep neutrophils elevated until treated.

Disclaimer: Each person’s journey is unique, treatment plan, life style, food habit, hormonal condition, immune system, chronic disease condition, geological location, weather and previous medical  history is also unique. So always seek the best advice from a qualified medical professional or health care provider before trying any treatments to ensure to find out the best plan for you. This guide is for general information and educational purposes only. Regular check-ups and awareness can help to manage and prevent complications associated with these diseases conditions. If you or someone are suffering from this disease condition bookmark this website or share with someone who might find it useful! Boost your knowledge and stay ahead in your health journey. We always try to ensure that the content is regularly updated to reflect the latest medical research and treatment options. Thank you for giving your valuable time to read the article.

The article is written by Team RxHarun and reviewed by the Rx Editorial Board Members

Last Updated: July 26, 2025.