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Although systemic inflammation is known to modulate iron metabolism, such as interleukin-6 (IL-6) stimulating hepcidin synthesis and subsequently downregulating FPN1, this has been observed primarily in hepatic tissues (95)

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The journal provides the narrative context

Despite what some online sources suggest, a lengthy washout period is not always necessary

Therefore, students are very unlikely to get a 20 out of 20 (before 2019 it was actually possible to get more than 20 because of options like Arts, Music, Latin, etc.)

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