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Excessive FFAs impair the liver through lipotoxicity [31,32,33], mitochondrial dysfunction [34], stimulation of signaling pathways related to metabolism and inflammation [35] and even direct activation of receptors that promote inflammation [36]

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As such, the DSM-5 now labels this diagnosis as intellectual disability. Many states once had a Department of Mental Retardation to serve those diagnosed with such cognitive delays, but most have changed their name to Department of Developmental Disabilities or something similar in language

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