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Liver organoids in this hepatotoxic environment for a long time show lipid droplet formation and TG accumulation and the upregulation of the expressions of genes related to lipid metabolism, inflammatory cytokines and fibrosis markers, showing the typical biochemical characteristics of MASLD progression (220)

Therapeutic Intervention Initial Intervention: Binding and Membrane Support Activated charcoal 500 mg twice daily Phosphatidylcholine 300600 mg daily Clinical Response: Mild improvement in anxiety Mild cognitive improvement Follow-Up Laboratory Assessment After initial therapy: C4a decreased from 5600 3500 TGF-1 decreased from 7210 6500 These findings indicated partial reduction in inflammatory signaling , despite persistent symptoms
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