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Lipid hydroperoxides, generated primarily through the activity of lipoxygenases (LOXs), are key mediators of cellular dysfunction and death ( 2.1.3 Antioxidant system 2.1.3.1 System Xc-/GSH/GPX4 axis The cystine/glutamate antiporter (System Xc-), glutathione (GSH), and glutathione peroxidase 4 (GPX4) form a critical antioxidant axis that plays a central role in regulating ferroptosis

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Physicians must avoid medical jargon, ensure comprehension, and respond to emotions using empathic communication skills before discussing the next steps in management, such as the recommended liver biopsy for definitive tissue diagnosis

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