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4 Strengths and limitations This review integrates evidence across cellular, organ, and physiological levels, highlighting autophagy pathways, hormonal regulation involving GH, cortisol, insulin, leptin, and thyroid hormones, as well as cardiovascular, neurological, and gastrointestinal outcomes

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doi: 10.1016/j.xcrm.2023.101254 80 ShahbazSBozorgmehrNLuJOsmanMSliglWTyrrellDLet al