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Taken together, these case-based findings support a parallel diagnostic posture, securing antimicrobial coverage when neurosyphilis is supported, while preserving timely autoimmune phenotyping and treatment escalation when objective features suggest immune-driven persistence

Due to their hydrophobicity, dietary fats, mostly composed of long-chain fatty acids, are packaged as triglycerides (TGs) into chylomicrons in intestinal enterocytes and distributed to nonhepatic tissues (e.g., adipose depots) through the lymphatic system, thereby bypassing metabolism in the liver 5