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The European Association for the Study of the Liver (EASL) guidelines recommend that all symptomatic patients with WD should receive a chelating agent and zinc should not be used as monotherapy[3]

Shen DD, Li X, Qin YL, et al

doi: 10.1111/j.1601-183x.2011.00712.x

Impairment of insulin signaling in the liver, skeletal muscle and adipose tissue can lead to hyperglycemia, persistent high blood sugar levels can lead to cellular damage in the kidneys, potentially resulting in chronic kidney injury and speeding up the progression of DKD ( Previous studies have found that both endothelin-1 (ET-1) and adrenomedullin (ADM) affect glucose metabolism, and in a subsequent in-depth Mendelian randomization analysis, Chaterina Sujana et al