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Standard urine immunoassay tests do not specifically look for HHC, but HHCs metabolites, particularly 11-OH-HHC and HHC-COOH, are structurally similar to THC metabolites and trigger the same antibody response

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2010 1;12(Supplement 2):S13646

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After infiltration in the arterial wall, monocytes differentiate into macrophages and engulf oxidized low density lipoproteins (LDL) with the help of scavenger receptors creating foam cells, which secrete cytokines that, in turn, recruit more immune cells (145)