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R is calculated as (ALT ULN ALP)/(ALP ULN ALT)

Hu X, Wang Y, Gao X, Xu S, Zang L, Xiao Y, Li Z, Hua H, Xu J, Li D

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This potential age-related effect may be secondary to a progressive imbalance between ROS production and waning antioxidant defenses during aging, making G6PD-d individuals more susceptible to oxidative stress-induced ASCVD 22

She's also had a significant amount of lip filler and her nose looks extremely different in her more recent selfies on Instagram to how it did when she was younger