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[DOI] [PMC free article] [PubMed] [Google Scholar] 81.Yan-Do R., MacDonald P.E

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Conclusions: The study concludes that obesity is linked with adrenal activation, with a compensatory change in cortisol to cortisone metabolism

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34 Another clue to the diagnosis is that patients with Wilson disease tend to develop Coombs-negative hemolytic anemia, which leads to a disproportionate elevation in aminotransferase levels, with aspartate aminotransferase being higher than alanine aminotransferase