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The basis for the hydroxyl radical's extreme reactivity in lipid systems is that at very low concentrations it initiates a chain reaction involving triplet oxygen, the most abundant form of oxygen in the cell (Benderitter et al., 2003)

This burning process is called beta-oxidation, where fat is converted to ATP or energy

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However, higher levels of the mites upregulate TLR2 and trigger an immune response in some people who tend to have higher levels of inflammatory cytokines.[ref] A 23andMe study found that several genetic variants related to increased inflammatory response were linked to rosacea risk

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