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KKS Blockade in Patients with COVID-19 to Prevent Acute Respiratory Distress Syndrome ELife , 9, Article ID: E57555

[19] This effect, combined with glucose-lowering medications, can result in symptomatic hypoglycemia characterized by shakiness, confusion, sweating, and in severe cases, loss of consciousness

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Thus, for viral etiologies, the virus acts as the initial trigger, but the resulting metabolic dysregulation and chronic inflammatory state which overlaps significantly with the pathophysiology of MASLD are focused on and ultimately destroy the livers tissue architecture, creating the sustained carcinogenic environment (Wang and Zhang, 2023