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88 In terms of immune regulation, it has been documented that interleukin-4 (IL-4) and IL-13 inhibit the expression of GPX4 in some tissues (including heart, spleen, lung, and kidney), while the expression of ALOX15 increases, resulting in the massive production of arachidonic acid metabolites and inducing lipid peroxidation

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There are also broader metabolic considerations such as metabolic syndrome, vascular aging and need to monitor protein intake to support muscle building and recovery