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It is also well-established that cellular ATP is involved in the synthesis of reactive oxygen species (ROS) which scavenge antioxidants and that it is an energy source for antioxidant synthesis 11

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Phosphatidylcholine is particularly important for facilitating the appropriate secretion of very low-density lipoproteins from hepatocytes (Gibellini and Smith, 2010), essential for preventing the accumulation of lipid droplets in hepatic tissue, which can ultimately lead to steatosis (Dahlhoff et al., 2013)

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The cause of GA is not clearly understood, but it is thought to be caused by a combination of factors that include damage from ageing, environmental factors, and genetics