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Dietary factors, such as polyunsaturated fatty acids (PUFA), fiber as well as the intake of Mediterranean diet appear to exert beneficial effects on female reproductive outcomes

Moreover, gut microbiome and metabolites that have entered the lamina propria may further induce cross-reactive T cell responses or amplify the immune activation state through mechanisms such as molecular mimicry and bystander activation, thereby contributing to the initiation and progression of NIU

c and GPX4, respectively

In summary, while the existing evidence points toward a beneficial role for GA in liver disease, the consistent positivity should be interpreted with caution, likely reflecting a combination of genuine therapeutic activity, methodological limitations, and publication bias

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