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In advanced cirrhosis, there is impairment of the function and maturation of DCs, which has been shown to be related to an imbalance of extracellular branched-chain amino acids(BCAAs) (14)

However, in pregnancies with high blood sugar levels (such as those with GDM), the placenta's development can be affected, leading to various complications such as increased oxidative stress, fetal thrombosis, maternal vascular malperfusion, and an imbalance in vasoactive molecules

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