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Some pathologists consider granulomatous inflammation of the liver to be a form of chronic inflammation when there is a prolonged duration with predominant presence of epitheloid cells/macrophages and prefer to address the fact that there may be areas containing mononuclear epitheloid cells and multinucleated giant cells in the chronic inflammatory process in an accompanying narrative

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Its a very effective antioxidant the body makes to protect itself from free radical damage (oxidative stress)

This is a normal physiological response to significant caloric and weight changes, not a sign that something is wrong