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It is also possible that a metabolic switch involving a reduction in mitochondrial OXPHOS activity and an increase in cytosolic aerobic glycolysis in plasmatocytes is a trigger for their activation and transdifferentiation into lamellocytes

That said, reviews are overwhelmingly positive

Serum lipase activity is not specific for pancreatitis or exocrine pancreatic insufficiency (EPI) because several cell types secrete lipases [595]

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