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Although cytokine elevations in FM are less pronounced than those observed in autoimmune diseases such as RA, this state of low-grade systemic inflammation may nevertheless contribute to central sensitization and symptom persistence (44, 45)

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An increased titer of autoantibodies related to OS has been reported in women with endometriosis resulting in an increase in serum autoantibody titers to oxidatively modified low density lipoproteins [104]