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Hyperlipidemia is a prevalent source of oxidative stress that has been shown to increase red cell fragility and induce hemolysis, though the extent to which it may induce chronic low-grade intravascular hemolysis in a G6PD-d model is uncertain 58,59
Furthermore, significantly elevated branch-chain fatty acids (BCFA), which are metabolic products of protein breakdown have been hypothesized to induce epithelium inflammation ( These microbial alterations coincided with PTSD symptomatology, BBB dysfunction and hippocampal neuroinflammation, which was confirmed by increased proinflammatory cytokine levels IL-1 and IL-6 (Tanelian et al., 2023)
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Availability of data and materials Not applicable Authors contributions YM, SS, SH & CS contributed to this review