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While normal angiotensin-converting enzyme (ACE) levels (16 U/L) reduced the likelihood of active disease, a chest X-ray or computed tomography (CT) scan would be required for confirmation [28]

Footnotes Edited by: Bernd Rosenkranz, Fundisa African Academy of Medicines Development, South Africa Reviewed by: Kacper Nijakowski, Poznan University of Medical Sciences, Poland Miriam Njoki Karinja, Science for Africa Foundation, Kenya Data availability statement The original contributions presented in the study are included in the article/Supplementary Material, further inquiries can be directed to the corresponding author

quartiles were computed in Microsoft Excel and the upper range for outliers was set at quartile 3 + (1.5 the IQR), and the lower range was set at quartile 1 (1.5 the IQR)

The central metal ion is Co (cobalt)