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Atherosclerosis is a chronic inflammatory condition resulting from the invasion and accumulation of white blood cells (foam cells) in the walls of arteries and therefore is a syndrome affecting arterial blood vessels [58]
Traveling internationally can create even larger disruptions

The significance of these immunomodulatory effects is further underscored by recent advances in understanding DR pathogenesis

Diabetes, Obesity & Metabolism, 16 ,

The most appropriate option will depend on an individuals response to the medication, potential side effects, costs, and weight loss goals
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