THBD and metabolic syndrome: Similarly, greater myointimal carotid thickening, worse BAFMD, and higherconcentrations of E-selectin and thrombomodulin have shown association with serumfibrinogen levels in obese children.27 Fibrinogen has also been described as more frequently increasedin individuals with type 2 diabetes mellitus with metabolic syndrome than in thosewithout metabolic syndrome.