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Spinach ameliorates dietary oxidized tallow-induced NAFLD by regulating inflammatory cytokines, peroxisome proliferator-activated receptors, and antioxidant systems

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It uses a 7-point Likert scale to grade the severity of 11 DS symptoms along with three questions about foods that may cause symptoms

These intermediate substances serve as key effector molecules that, via gut-liver axis signaling, indirectly regulate hepatic physiological and pathological processes, exerting anti-inflammatory, anti-fibrotic, and anti-cancer effects

[1] [2] This potential interaction requires monitoring rather than preventing combined use