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M.PageS.et al (2020)

Inflammation and gut microbiota play crucial roles in both psychological distress and liver disease initiation and progression, while the sickness behavior theory explains that peripheral inflammation can lead to behaviors like fatigue, lethargy, impaired concentration, and social withdrawal

An increase in ROS results in the activation of the cellular defense mechanism against lipid oxidation to eliminate ROS [38]

The most common symptoms reported were erectile dysfunction (78%), low libido (69%) and low energy (52%)

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10.1371/journal.pone.0056306 69 LuoY.YuY.ZhangM.HeH.FanN