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Description
After 4 months of oral vitamin D3 supplementation (12004000 IU/day) in 186 deficient patients, there was a significant decrease (20.3%) in serum TPOAb levels [73,74]

3.4.1 Oxidative stress-endocrine axis integration ROS accumulation triggers activation of stress-activated protein kinases (JNK/p38 pathway), which subsequently inhibits AR transcriptional activity, creating a cascade that disrupts testosterone synthesis ( 3.4.2 Metabolism-immune-epigenetic crosstalk Inflammatory mediators including TNF- and NF-B activation modulate AR signaling capacity while IL-6 triggers DNA methylation changes that affect spermatogenesis ( 3.5 Emerging epigenetic mechanisms Recent investigations have revealed the critical role of non-coding RNAs and chromatin modifications in mediating EED-induced reproductive toxicity, providing new insights into both immediate and transgenerational effects
Interestingly, they found aberrations in ROS clearance pathways, including elevated glutathione levels, decreases in mitochondrial superoxide dismutase levels, and glutathione peroxidase 4 mediated lipid oxidative damage

A highly cited, landmark 2013 study led by Dr
