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(3) ROS induces DNA oxidative damage (such as formation of 8-OHdG) and lipid peroxidation (MDA increase), triggering chondrocyte apoptosis through Bax/Bcl-2 imbalance and activation of caspase-3

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Platelet Effects The inhibition of platelet aggregation seen with ketorolac is due to dose-dependent inhibition of COX-1 in platelets leading to decreased levels of platelet thromboxane A2and an increase in bleeding time

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