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113 SarkoziK.PappA.HorvathE.MateZ.FerenczA.HermeszE.et al (2016)

Although exogenous factors, including infection and inhaled pollutants, could directly oxidize GSH, endogenous disease-specific mechanisms could also prime the process

This creates an evidence gap, meaning prescribing decisions must be based on careful risk-benefit analysis rather than robust trial data in this specific population

Could PPIs Deplete the body of Vitamin B12

19 The SOD and GPx enzyme activity may be able to give positive supportive evidence to the surgeon, thereby allowing an objective tipping point for an exploratory laparotomy

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