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Finally, we highlight major limitations in the current evidencesuch as heterogeneous dosing regimens, the scarcity of long-term clinical data, and insufficient mechanistic validation under MASLD conditionsand propose directions for future translational research

Reiki Reiki, a Japanese energy healing practice, is used by some holistic veterinarians to promote relaxation and overall well-being in hyperthyroid cats

Ethics declarations Ethics Approval and Consent to Participate All data sources used in this study received approval from institutional review boards and obtained informed consent from all participants [19, 20]

Oxidative stress the increase in free radicals induces the over-expression of fibrogenic cytokines and augmented transcription and synthesis of collagen