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The low hematological indices together with the observed low Fe 2+ levels suggest a microcytic anaemia in the ART-nave HIV-infected patients and support previous studies that have reported low HB, MCV and MCH in HIV treatment-nave patients compared to patients on ART [32, 33]

Dietary tryptophan is used by Dietary deficiency can quickly deplete the tissues first for protein and amino acid needs, bodys reserves of niacin, and signs of defi- and only then for synthesis of niacin