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Whole-blood measurements are dominated by erythrocyte glutathione and require appropriate volume- or erythrocyte-based normalization, whereas plasma and serum contain much lower concentrations and are particularly sensitive to hemolysis and processing delay

Eumelanin and pheomelanin concentrations in human epidermis before and after UVB irradiation

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Therefore, guidelines emphasize the need to exclude other crystal-induced arthropathies (e.g., pseudogout) and consider the diagnosis in conjunction with typical symptoms such as joint swelling, redness, heat, and pain (Panlu et al., 2024