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In this diet pattern, approximately 60% of total fat intake is derived from MUFAs, which have been shown to lower blood pressure, enhance glucose metabolism, and reshape gut microbiome, thereby reducing the risk of coronary artery disease ( Among MUFAs, oleic acid a major component of olive oilexhibits notable anti-inflammatory effects and improves insulin sensitivity by suppressing TLR4 signaling in macrophages (86)

Increased pigmentation of proximal nail folds (Pseudo-Hutchinson's sign), knuckles and bony prominences were also noted