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Step 5: Remove air bubbles With the vial still inverted and the needle still inside, look for air bubbles in the syringe barrel

These findings reveal a paradoxical gap between generally good diabetes knowledge and glycemic outcomes, suggesting that structural and contextual barriers, rather than knowledge deficits, may explain the persistent disconnect between theory and practice in low-income populations

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These changes contribute to immune cell bioenergetic failure, T cell exhaustion, and cytosolic release of mtDNA, which can activate cGAS-STING and NLRP3 pathways to sustain chronic inflammation