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Parallel to these endocrine perturbations, IR drives lipotoxicity and systemic inflammation, characterized by increased TNF-, IL-6, and C-reactive protein, which further suppresses insulin sensitivity and antioxidant enzyme expression (78)

Sources of vitamin D include sunlight, egg yolks, oily fish (salmon, mackerel, sardines) and vitamin fortified cereals and milk

Herbal medicine usage in Western industrialized countries serves as a basis for alternative and complementary approaches to medicine as well as often being integrated into conventional medicine