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Hyperglycemia and dyslipidemia stimulate NLRP3 activation via reactive oxygen species (ROS), promoting inflammatory responses and -cell pyroptosis, thereby worsening glucose metabolism dysregulation ( Oxidative stress further exacerbates diabetes pathogenesis by generating excess ROS through glucose autooxidation and the formation of advanced glycation end products (AGEs) ( 2.6 Self-immune response and genetic factors The self-immune response is the bodys immune response to its own tissues, including the autoimmune attack on pancreatic -cells, which is the main pathogenic mechanism of T1D (Velloso et al., 2013)

Recent studies have demonstrated that gut microbiome-derived L-tryptophan biosynthesis is reduced two-fold in individuals with prominent gastrointestinal symptoms during the acute phase and in those experiencing persistent mental health symptoms in the post-acute phase [101]

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7,77 Chronic Kidney Disease-Mineral and Bone Disorder (CKD-MBD) Chronic kidney disease-mineral and bone disorder (CKD-MBD) is a common complication in which one or more of the following occur due to the loss of proper regulation by the kidneys: Abnormal bone mineralization, strength, growth, and turnover Calcification of non-bone tissues, including blood vessels Irregularities in vitamin D, calcium, phosphorus, fibroblast growth factor-23, and parathyroid hormone metabolism Each of these abnormalities is associated with a high risk of mortality, primarily attributable to the cardiovascular consequences