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Crucially, these studies show no impact of BMI on these metabolic outcomes, confirming that the virus itselfand the resulting mitochondrial and epimerase dysfunctionis the primary driver of this "lean phenotype" insulin resistance

UV light from the sun can contribute to free radical exposure, and vitamin C may help support the bodys response to oxidative stress from everyday environmental factors

A potential link between disruption of the circadian rhythm and viral infections suppressing the immune system has been suggested by several investigators (113, 115, 134, 135)

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Ultrasonography is the most commonly used imaging method for diagnosis and follow-up