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During human cytomegalovirus infection, the interferon inducible enzyme viperin is relocalized to mitochondria, where it perturbs mitochondrial FA -oxidation by engaging mitochondrial metabolic machinery

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This acts like a Trojan horse or a shield, protecting the nutrient from stomach acid and digestive enzymes

Figure 3: The average levels of AngIV in the brain in the four different experimental groups included in the first part of the study

In routine Indian outpatient practice, the phenotype framework above is best used as a starting filter rather than a rigid algorithm: most patients present with overlapping features an obese patient with fatty liver and post-meal spikes, for instance and the choice of agent should weigh cost, injection tolerance, local drug availability, and comorbidity burden alongside the mechanistic fit