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In addition, Gu et al

In obesity, altered calcium metabolism and secondary hyperparathyroidism may further complicate vitamin D physiology, and combined calciumvitamin D supplementation has been shown in some trials to modestly influence adiposity and metabolic indices, although effects remain heterogeneous (161)

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Airborne pollutants like particulate matter (PM), polycyclic aromatic hydrocarbons (PAHs), and heavy metals (such as cadmium and lead) can trigger ROS production when they are inhaled or absorbed into the body
