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On the other hand, steroids are synthetic hormones that mimic the effects of testosterone, leading to increased muscle mass and strength

Furthermore, mechanisms such as bile acid signaling, the gut-liver axis, insulin resistance, and hepatocyte cell death also contribute to disease progression, yet the role of NAD + in these pathways remains underexplored

In a cohort study by Ahlehoff et al, patients with psoriasis showed a disease severity-dependent increased risk of ischaemic stroke and there was an association between psoriasis and atrial fibrillation [54]

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