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The most reliable way to determine the cause of symptoms is through comprehensive blood work and medical evaluation

10.1016/j.jpba.2012.04.035 87 ZhangW.YinK.LiB.ChenL
Process Biochem 91:172180 Wang Y, Liu W, Li Z, Qiu B, Li J, Geng G, Hu B, Liao A, Cai Y, Wen M (2024) Improvement and application of genetic resources of grass carp ( Ctenopharyngodon idella )
First, podocyte injury occurs via insulin signaling impairment (downregulation of nephrin and podocin), metabolic stress-induced apoptosis (activated caspase-3), and detachment (loss of 31 integrin), leading to compromised slit diaphragm integrity and proteinuria
