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This causes high oxidative stress, mitochondrial dysfunction, and cell death of the hepatocytes.[ref] As these cells die, inflammatory cascades perpetuate the oxidative stress, leading to bleeding, fibrosis, or possibly liver failure

J Clin Invest (2016) 126(10):373957

Also, the induction of DNA damage by Dexamethasone agrees with ( spirulina against dexamethasone genotoxicity

Assessment of fluoride-releasing materials in remineralization of adjacent demineralized enamel

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CoQ10 is also a powerful antioxidant, protecting cellular membranes from oxidative damage