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In those specific, high-stress scenarios, some fluctuations in enzymes like ALP were noted

Abenavoli L, Greco M, Milic N, Accattato F, Foti D, Gulletta E, Luzza F (2017) Effect of Mediterranean diet and antioxidant formulation in non-alcoholic fatty liver disease: a randomized study

However, the Cochrane review conducted by Showell et al

Notably, the enzymatic activity of GPX4 is strictly dependent on its active-site selenocysteine residue (168), implying that dietary selenium intake directly regulates GPX4 protein expression and functional activity, thereby determining cellular susceptibility to ferroptosis

The lack of dopamine elevation seen in some patients may explain their lack of response to dopamine blocking medications