They function via a different, noncanonical method of Nrf2 activation
SSRN (Preprint)
Several studies examined various molecules to support the antioxidant defense as an exogenous agent to reduce the oxidative damage caused by renal IR 18,19,20
In a healthy system, the direct pathway facilitates movement via D1 receptor-mediated excitation, while the indirect pathway inhibits movement through D2 receptor-mediated suppression
You are taking St Johns wort : Because SJW may also affect serotonin levels, the use of multiple herbs that do this should be avoided to reduce risks for excess serotonin in the body, a serious condition
That means you can walk in (or book ahead), have a short consultation, and if its appropriate get your injection on the same day