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It has been well established that pro-inflammatory cytokines produced by the adipose tissue in obesity affect normal nutrition-related signalling, establishing the progression to MetS and ultimately to T2D [125]

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Unlike chronic left heart failure, which provides time for macrophages to phagocytose red blood cells and form hemosiderin-laden macrophages , this hyperacute presentation lacks these classic "heart failure cells." Furthermore, the rapid 30-minute timeline precludes the development of the inflammatory exudates or hyaline membranes characteristic of acute respiratory distress syndrome , confirming a purely hemodynamic etiology

G.MukhopadhyayaR.DasP