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When detoxification capacity is overwhelmed: Oxidative stress rises Mitochondrial efficiency declines Cellular recovery slows Pain sensitivity increases This creates a compounding effect: impaired detoxification further strains nutrient reserves, and diminished nutrient reserves reduce detox efficiency
126 Co-administration of warfarin (a substrate of CYP1A2, CYP2C9, and CYP3A4) and octreotide led to high INR levels in humans, which may be attributed to the increased warfarin exposure caused by octreotides inhibitory effect on CYP3A4
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