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Diet is another key, modifiable determinant

hCMVie human cytomegalovirus major immediate early promoter promoter FIG

Collectively, these findings support the role of fecal microbiota influences and metabolic pathways (oxidative stress, inflammation) as underlying mechanisms for the beneficial effects of the MD in reproductive health, highlighting microbiota manipulation and metabolic interventions as promising avenues for further exploration (72)

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At the same time, alcohol depletes glutathione