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Primary Sjgrens syndrome (pSS) is a systemic autoimmune disorder that mainly affects exocrine glands and contributes to DED development (62)

We acknowledge Division of Medical Research, SRM Medical College Hospital and Research Centre, Faculty of Medicine and Health Sciences, SRM Institute of Science and Technology, Kattankulathur, Chengalpattu, Tamilnadu, India for providing funding and covering the cost of publication charges

Alternatively, oral capsules are available but have significantly lower bioavailability

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pH 7.4) at room temperature for 1 h before recording

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