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Persistent selenium depletion has also been linked to prolonged ICU stays, elevated Sequential Organ Failure Assessment (SOFA) scores, and overall poorer outcomes, highlighting selenium’s critical role in trauma recovery and survival (Table 5)
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These properties enable bilirubin to neutralize reactive oxygen species, reduce inflammation, and inhibit the progression of fibrosis, all of which are key factors in the pathogenesis of MASLD[34-36]
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