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According to meta-analysis data, hypothyroidism occurs in about 3.8% of patients treated with anti-CTLA-4, 3.9% with anti-PD-L1, 7.0% with anti-PD-1, and 13.2% with combination therapy

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Oxidative stress occurs when cells are exposed to ROS, such as superoxide anion (O 2 - ), hydroxyl radical (OH), hydrogen peroxide (H 2 O 2 ), and organic hydroperoxide (ROOH), which causes oxidative damage to the cell via interactions with cellular components, including lipids, DNA, and proteins [3]

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