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Studies with incomplete data or those lacking extractable key outcome measures

Iron overload was thought to play an important contributory role in shaping the EMs inflammatory microenvironment and cell adhesion [6, 15, 27]

Additionally, Gammaproteobacteria, recognized as opportunistic pathogens, increases susceptibility to intestinal infections and exacerbate inflammation-driven metabolic dysfunction, impairing thyroid hormone utilization (Yao et al., 2020)