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This system operates through several mechanisms, including direct scavenging of reactive species, metal chelation, and enzymatic processes that rapidly neutralise reactive molecules following their formation (126, 243, 256)

Diabetic neuropathy Peripheral neuropathy Up to 50% of diabetic patients develop peripheral neuropathy, a type of nerve damage that may result in pain, loss of sensation, and weakness, particularly in the lower extremities (67)

Sohal RS, Farmer KJ, Allen RG, Ragland SS, 1984

Future research recommendations Most of the research and clinical studies conducted on ME/CFS have inconsistent outcomes and use different study parameters, making the results difficult to compare or combine (581, 582)

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Analysis of her liver function showed a total bilirubin level of 101.1 mol/L (017.0 mol/L), direct bilirubin level of 10.3 mol/L (08.0 mol/L), reticulocyte count of 10.42% (2.0%6.0%), and she was negative in the Coombs test