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In IPF, environmental factors such as cigarette smoke, air pollution, and microbial infections damage alveolar epithelial cells (AECs) and microvascular endothelial cells, initiating an aberrant injuryrepair cascade [33,34,35]

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Supplement Use Dietary supplement use was common in our study cohort: 412 (72.2%) of the 571 patients had used or were currently using at least 1 supplement at the time of their consultation

Despite this, it is increasingly being marketed online often alongside other metabolic compounds raising significant patient safety concerns

Told me to use Anti Inflammatory drugs prior to aggravating activities