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case study lectin heparin glycolipid glycoproteins keratan dct secretions raas reabsorption absorption nakatpase pct kidney nephron loop of henle glomeruler liver disease hepatitis liver acute liver failure heteropolysaccharide diassacharide oligosaccharide biomolecules types of carbohydrate carbohydrate polysaccharide dermatan proteoglycans carbohydrates glycosaminoglycan gags basement membrane hypoglycemia biochemistry vitamin d resistance thyroid gland anotomy physiology tsh t3 tft t4 graves disease multinodular toxic adenoma toxic adenoma central hyperthyroidism podocytes panca minimal change disease diabetic nephritis membranoproliferatice glomerulonephritis focal segmental glomerulosclerosis acute postinfectious glomerulonephritis membraneous glomerulonephritis lupus nephritis iga nephropathy amyloid nephropathy anca anti gbe disease case presentation vitamin somogyi phenomenon thyroid strom