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At the optimal cut-off value of 12.5 ng/ml, CSE-MS demonstrated 65% sensitivity and 60% specificity, with positive and negative predictive values of 62% and 63%, respectively

2.3 Dysregulation and failure of endogenous antioxidant defense mechanisms Under physiological conditions, the myocardium maintains redox homeostasis through a robust endogenous antioxidant defense system, comprising enzymatic components like SOD, Catalase (CAT), and Glutathione Peroxidases (GPxs), as well as non-enzymatic antioxidants such as glutathione (GSH) and thioredoxin (Kumar et al., 2022)

extract, and chicken essence, stable and reliable mechanisms for enhancing physical strength and endurance have been demonstrated in preclinical research models, yet sufficient human clinical trial validation has not been obtained

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