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The long answer: Refrigeration is critical because it dramatically slows down two separate but equally problematic processes

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4.2 Mechanisms of enzymatic degradation and the regulatory networks of the glycocalyx In general, there is greater catabolism of proteins, lipids, and carbohydrates in sepsis (59), but recent studies have shown that there is also greater polysaccharide synthesis in endothelial cells in the presence of sepsis

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