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Healthcare providers consider multiple factors beyond just this number

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In PAH, DNA methylation mediates CpG site methylation in gene promoters and enhancer regions via DNA methyltransferases (DNMTs), leading to hypermethylation or hypomethylation of immune-metabolic related genes such as EIF2AK4, TCF7, and SOCS3 with concomitant abnormal expression, which enriches functions like T cell differentiation and participates in the pathological process of PAH ( Histone modification plays a crucial role in epigenetic regulation

Gastrointestinal side effects may lead to treatment discontinuation in some patients, though severe cases remain rare and can be mitigated with appropriate monitoring (62)