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Liver injury, in slides blinded to treatment and grouping, was scored by an experienced histologist (DO) as previously described 24,25 and included assessment of features of hepatocyte injury, the presence of inflammatory cells and foci, steatosis, and markers of tissue response

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Urbanization, characterized by sedentary lifestyles and indoor-oriented occupations, restricts natural sunlight exposure, exacerbating deficiency risks (71)