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Nonetheless, oxidative stress and abnormal immune response are now recognized as important variables among several possible pathogenic components that may be crucial in controlling the chronic and persistent challenges observed in PCC individuals 22,23

In these cases, there may be particularities in the metabolism and elimination of its derivatives that could affect their condition

6,10 In immunocompromised individuals, more unusual presentations can sometimes be observed

While transient, moderate activation is protective, chronic or excessive activation carries significant risks

Change in other metabolic substrates and liver enzymes Serum FFA and uric acid (UA) concentrations increased significantly in both groups after fasting as shown in Table 4