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G6PD enzyme level taken on admission was 7.47 U/g Hb (normal, above 6.76 U/g Hb)

IL-1, produced by inflammasome-activated macrophages and granulosa cells, further potentiates this process by inducing secondary cytokine waves and promoting endothelial activation, creating a self-reinforcing inflammatory circuit within the ovarian microenvironment [24, 28]

This reaction represents the primary rate-limiting step in fatty acid oxidation

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