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Quality assessment The quality of the included studies was assessed using RoB2 for RCTs and ROBINS-I for observational studies

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Fat and dietary fiber (from carbohydrate-rich foods) also have this effect, which is why a balance of protein, fat, and carbohydrate is important

This approach may inadvertently harm patients who show minimal early response to lifestyle modifications alone

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Clinical studies show elevated whole blood glutathione stores, enhanced natural killer cell activity, and reduced oxidative stress markers