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The authors propose that the mechanism is likely related to the synergistic antioxidant activity of numerous phytochemicals in the extract, such as vitamins C, E, and carotenoids, which may alleviate gastric mucosal damage by scavenging free radicals

10.1038/cddis.2013.491 267 PaulB

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Additionally, IL-6 and IL-23 can drive Th 17 differentiation, with IL-17 recruiting neutrophils that infiltrate thyroid tissue, causing direct damage to follicular epithelial cells (Stadhouders et al., 2018)