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12 Differential Diagnosis Although the most pressing concern during the evaluation of a patient with palpitations is to uncover any underlying cardiac cause, noncardiac causes may also contribute and are potentially treatable (Table 1)

GPX5 is synthesized primarily by epididymal head epithelial cells and secreted into the epididymal cavity to compensate for a deficiency of antioxidant enzymes in immature sperm ( 2 O 2 , and these mice did not exhibit significant defects in the epididymis and sperm cells ( 2 O 2 scavengers was detected ( 2.6 GPX6 Glutathione peroxidase 6 (GPX6), also known as olfactory organ glutathione peroxidase ( It is believed that GPX6 is mainly expressed in embryonic and olfactory organ epithelial cells, and may be involved in the transmission and degradation of odor-related signals

Biochim Biophys Acta 1865(5):721733

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SHK has also been identified as a mixed and competitive inhibitor of cytochrome P450 enzymes, which may lead to an increased risk of drug interactions and toxicity since these enzymes play a crucial role in drug metabolism (Lupescu et al., 2014)