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Abstract Viral infections can trigger increased reactive oxygen species (ROS) production and a reduced antioxidant response in the host, leading to redox stress, inflammation, apoptosis, and ultimately, cell and tissue damage, which contribute to disease development

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These changes may impair nutrient absorption and promote hepatic inflammation via the gutliver axis ( Collectively, these multisystem observations support the concept that anabolicandrogenic steroid toxicity represents a diffuse endocrinemetabolic disorder rather than isolated organ-specific pathology

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