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Mortality reached 684,996 deaths, with a cumulative risk of 1.49%, underscoring breast cancer as a critical public health challenge ( Table 1 ), but 24,047 deaths, translating to more than half of diagnosed patients succumbing to the disease, thus reflecting structural barriers such as poor access to mammographic screening, delayed presentation, and inadequate treatment infrastructure ( Table 1 Breast cancer incidence and mortality by world region (GLOBOCAN estimates) ( Mortality-to-incidence ratio (MIR) was calculated as (deaths incident cases) 100

Lactulose is a synthetic disaccharide that is not hydrolysed by intestinal enzymes, but (if given orally) passes into the large intestine, where it is a substrate for bacterial fermentation to lactate

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Changes in WNT/beta-catenin pathway during regulated growth in rat liver regeneration

Additionally, citrus fruits such as oranges, lemons, and grapefruits are excellent sources of vitamin C, supporting glutathione synthesis