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For now, that remains a research question rather than a clinical recommendation
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Scientific Reports , 12
High positive contributions from enzymes like 6-phosphogluconate dehydrogenase (6GPD: 0.333), glutathione S-transferase (GST: 0.322), and metabolites like sucrose (0.317) suggest that this axis reflects the oxidative and metabolic responses under stress
Instead, they are organizational failure modes that emerge when executive leadership tolerates weak governance of computerized systems, when the Quality Unit (QU) lacks authority or competence to enforce controls, and when the Quality Management System (QMS) treats data governance as an IT topic rather than a core CGMP control
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