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or acrylate pathways, such as Coprococcus catus , Lachnospiraceae, and Megasphaera elsdenii

Zhu X, Wang C, Duan X, Liang B, Genbo Xu E, Huang Z

This dysregulation creates a paradox: iron deficiency limits hemoglobin synthesis, while iron overload induces oxidative stressboth converging to accelerate eryptosis and shorten RBC lifespan

The course of the disease is highly unpredictable patients' hair may grow back and fall out again at any point and differs from one patient to another