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Too high levels caused by either excess ROS production or impaired detoxification lead to oxidative stress, elevated tissue damage, and pathophysiological stalling 14,15 , whilst too low levels impede cellular and molecular processes of wound healing which are dependent on ROS-mediated signal transduction 7 ultimately leading to the formation of chronic wounds

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Earlier intervention, when follicles are miniaturized but not gone, is where the evidence is most plausible