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Importantly, most, but not all, studies 23 have shown that in patients with marked hyperferritinaemia despite the absence of acute inflammation, a considerable increase in hepatic and body iron stores is typically seen 19,24

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this study also reported elevated alanine prevalence but not alanine values

This paucity of detailed data can limit the depth of analysis and may result in incomplete conclusions regarding the intricate interrelationships between these biological processes