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The result can include increased oxidative stress, inflammation, and cellular damage

Sarkar, Toton et al

Bile acids may also be increased

Independent phase-variable expression has also been observed in genes involved in haemoglobin-haptoglobin acquisition (Phillips et al., 2022) which is hypothesised to provide an adaptive response to fluctuations in haem-iron availability/source influenced by the stage or site of infection (Rao et al., 1999