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These paradoxical results could be observed in some other studies, such as the Keap1-Nrf2 axis in acute lung injury, in which Keap1 expression increased in some animal and in vitro experiments (Huang et al., 2020

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Other environmental medicine literature suggests that for a specific, potentially large subset of patients diagnosed with ME/CFS, systemic mycotoxin toxicity is a primary underlying driver of their debilitating symptoms, rather than an idiopathic or purely post-viral phenomenon