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Apoptotic hepatocytes activate quiescent hepatic stellate cells (HSCs) and Kupffer cells (KCs) that in turn promote inflammation and fibrosis ( 2.4.1 Inflammation Inflammatory damage as a result of the imbalance between pro-inflammatory cytokines and anti-inflammation is triggered by various endogenous or exogenous factors in adipose tissue or the gut, such as lipotoxicity, cells apoptosis, innate immune responses, OS, mitochondrial dysfunction, and ER (Schuster et al., 2018)

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If animals condition worsens or does not improve, stop product administration and consult your veterinarian