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Moreover, adherence to the MD not only positively impacts clinical parameters such as weight, waist circumference, hepatic fat accumulation, insulin resistance, alanine transaminase levels, gamma-glutamyl transferase, total cholesterol and triglycerides, but also beneficially influences inflammatory biomarkers, including adhesion molecules and cytokines [129]

Myeloid-derived suppressor cells (MDSCs) are a diverse subset of bone marrow-derived cells, typically generated in response to stress stimuli such as tissue injury and inflammation (82, 83)

Abd-Elhamid M, Sadak MS, Tawfik MM

For these individuals, strict avoidance remains the only medically sound treatment